Mpbc and crohns

Hi Guys, well, 

i was diagnosed with bladder cancer around late April early May. If you know anybody that has pee that changes colour especially a slight rosè colour, get them into the gp.
I had previously been diagnosed with crohn’s when i was 23, way back in the early 80’s. I have recently been receiving biologic medication in the form of an ifliximab infusion to treat a pretty serve flare up prior to theBC diagnose’s. My Gastric Nurse told me to go get myself checked out after i noticed my pee was a very light rosè colour sometimes. Did this, was put on the 2ww refered by my Gp, had an Ultra Sound a couple days before a cystoscope. I Wan’t aware that the US had identified a golf ball size mass on the rear lefthand side of my bladder. So the cystoscope was pretty much to confirm there was indeed a mass. So when i saw what looked like a piece of coral waving about in the Ocean I did wonder what it was. TURB-T was  booked procedure carried out mass sent away to Pathology. About 14/15 days later face to face with one of the urologist to discuss the biopsy outcome. After a very informative discussion i was informed I had a G3 (hg) pT2a muscle invasive Bladder Cancer. Initial i took it pretty well, we then discussed my options, pre operative chemo with a Radical Cystectomy. Well that was the first shock, loosing the bladder. I then asked about how would i pee after the RC. A secondary operation at the same time called a urinary diversion. The current gold standard would be to harvest a portion of Bowel to create a neo-bladder or stoma. Well then i asked the question, which portion of bowel is usually harvested. Distal Ileum, well way back in the 80’s i lost that portion of bowel to resection and right hemi’s due to the crohn’s. Long story short, other options can be considered but that would be discussed at later meetings. I informed my gastric nurse after returning home what had transpired as she had to check if i could continue with my infusion and meds for the Crohn’s. I attended my infusion a day or so after had a length chat with one of the Gastro CNS, she informed me that my Azathioprine along with the infusion would be suspended after this current infusion, due to the proposed chemo. I then asked if i could have a scope of my bowel done, just incase there were other nasties in my bowel.This was duely arranged. After i had a meeting just recently with the surgical consultant i had the scope done in my local daycare unit at my local hospital, the result of that that i have a bowel Stricture. 

The question i been getting to, are there any guys or gals on here that have had this happen to them. The second question, were in the UK should i be considering to have  the required operations done. 

I apologise for the length of this post, i have left out a lot of incidental information to shorten the post, again sorry for the length

  • Hello RichTee and thanks for the post

    I am sorry to hear about your situation and can appreciate you wanting to reach out to others who may or have been in a similar situation to you.

    Every patient is different and therefore what the best treatment is for one person may look completely different to someone else. This is especially the case when a person has other medical conditions that may affect treatment. It really is only the team involved in your care who can discuss what the best treatment is for you and the hospital in which you should have it.

    Unfortunately no one here can make recommendations about treatment or specific hospitals.

    It sounds like your case is unusual due to the past surgery you had for crohn's disease and the team looking after you will take all of this into consideration when planning your surgery. Do ask them any questions you have to get a better understanding of this.

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Wishing you all the best,

    Naomi