If you have low-grade Ta or (much less common) solitary T1 disease, then your doctor may decide on tumor removal during TURBT and may recommend one instillation of intravesical chemotherapy (chemotherapy placed directly into the bladder through a catheter inserted in the urethra) immediately following your tumor removal. Afterwards, you and your doctor will decide the best course of treatment for your condition.
If you have low grade tumors that are large in size or frequently recurrent, your doctor may also suggest cycles of intravesical chemotherapy to prevent or delay recurrence.
If you have recurrent, low grade papillary tumors, you will be monitored regularly by a urologist, and you can expect your disease to be managed as a chronic, but not life-threatening, condition. However, this does not mean living with this disease is not stressful or that patients should be complacent about regular monitoring and regular visits to their urologist. Repeat cystoscopies, waiting for test results, recovering from TURBT procedures and enduring multiple cycles of intravesical chemotherapy all are likely to take a toll on you. For ways to help you and your loved ones cope with these potential, physical and emotional stressors, review and consider applying the suggestions proposed in the section on Coping With Recurrence on this site.