Robert (71 years old)

Robert, a 71-year-old man, is a retired graphic designer. He now enjoys long walks on the beach with his 3 dogs.

He presented with macroscopic haematuria, which led to the diagnosis of low-risk NMIBC.

Assessment summary:

• No relevant medical and family history
• Creatinine level: 61 µmol/l
• Pelvic MRI: bladder polyp
• CT urogram: no concomitant upper tract tumour, horseshoe kidney
• Cystoscopy with biopsy: 1 cm papillary tumour with low potential for malignancy
• Transurethral resection of bladder tumour (TURBT) followed by 1 immediate chemotherapy instillation
• Pathology report:
  • Visually complete resection
  • pTa low-grade (LG)