My dad is a ~50 year old smoker that was diagnosed with Ta high grade bladder cancer on Feburary and had his first TURBT surgery in May. He had his second TURBT at UCS in August and was comfirned to have high grade, T1 and CIS bladder cancer. Apparently even after removing most of his tumors in May, the surgeon found a lot of tumors in his bladder in August. His doctor suggested that since he's considered young for a cancer patient and his cancer is still at an early (but quickly growing) stage, he should get a neobladder replacement and be done with the disease. He said patients usually react well to BCG treatment at first, but 40% of the patients' cancer would eventually come back and may become much more dangerous. He also said something about only keeping the BCG patients' record for 10 years which makes me feel like BCG would only keep the patients alive for no more than 10 years.
Needless to say, my dad is very much agaist removing his bladder, but the doctor was very convincing and had us really worried of the potential risk of not replacing his bladder. How risky is it to do BCG in his case? How uncomfortable is it to get a neobladder?
Lastly, he's very much set in his ways in regards to smoking and despite multiple attempts he couldn't quit, I wouldn't count on him eventually quitting either. How bad is smoking to his disease?
