All,
I have read several postings from folks who appear unsure how to deal with this dreadful disease. Please let me give you some words of assurance and hope.
I was diagnosed with Transitional Cell Carcinoma T2a grade3 on 12/15/2004. This was a 2-inch invasive tumor located on the bladder floor near the urethra. After resection, I was told that the bladder must come out and that I would only be a candidate for an "Ileal conduit" or "Florida Pouch". This was an out of body experience for my wife and me . . . so surreal that I could not eat, drink, or sleep for 48 hours.
After dwelling in the abyss of self-pity for two days, I pulled myself off the couch and began to take charge of my situation instead of the other way around. The first thing that I did was fall on my knees and ask God to wrap a shroud of protection and calmness around me. I put the entire situation in God's hands because I absolutely could not handle it.
I began to realize that there are TWO things that are important in this fight. . . Prayer and a solid support group. I got on the prayer lists of my church as well as several others and began to make contact with people who have had cancer. This action was the beginning to my survival and well-being.
Anyway, I was directed to Moffitt Cancer Center in Tampa, Florida for a consultation and second opinion. I was told that I must have the bladder removed and a neobladder would be built out of small or larger intestine with a "nerve sparing" prostate removal. This simply means that if there is no prevalent cancer in the pelvic lymph nodes, prostate or urethra they would leave the apex of the prostate for sexual function and improved continence.
On 01/31/05 I had the surgery and they created my neobladder out of colon. All went well and six weeks post-op I am doing well enough to return to work at the end of March. My pathology reports came back negative and long-term prognosis is excellent.
Please understand that YOU must take control of this thing or it will control you. Remember that a diagnosis of cancer is not an immediate death sentence and if you must have your bladder removed; it is not the end of the world.
I am a member of an excellent website that allows dialogue with patients who have either superficial or invasive bladder cancer and are in various stages of treatment. This site can be accessed at (BLADDER-CANCER-CAFE@LISTSERV.ACOR.ORG). You must become a member.
Good luck and God bless all of you.
Bob W.
neobladder 01/31/05