Luther (62 years old)

Luther is a 62-year-old police officer, who is always outside regulating everyday traffic. Luckily, he lives in a sunny, but not too hot place, with limited rainy days. He loves his job!

He was diagnosed with high-grade NMIBC and underwent 6 cycles of BCG therapy. At follow-up cystoscopy, a tumour was found at the bladder neck.

Assessment summary:

• Maximal TURBT, visually complete
• Pathological review:
  • Progression to MIBC, minimal pT2 UCa
  • Unifocal, no concomitant CIS
• Imaging: suggestive for cT2 cN0 cM0
• Ultrasound: hydronephrosis
• eGFR: 70 ml/min
• No peripheral neuropathy
• No hearing impairment
• ECOG PS: 0
• Cardiac ejection fraction: 60%
• No relevant medical history
• No voiding symptoms