Jimmy (68 years old)

Jimmy is a 68-year-old retired kindergarten teacher. Whenever he can, he volunteers to read to children during story time at the local library.

He was first diagnosed with low-grade non-muscle-invasive bladder cancer (NMIBC) 12 years ago. Since then, he has had two pTa low-grade recurrences of <3 cm, without concomitant carcinoma in situ (CIS). The most recent one was last year, for which he was successfully treated with a resection and chemotherapy instillations for 1 year.

When Jimmy comes in for his next consultation, he tells you that he finds the follow-up cystoscopies burdensome, that the examinations cause him significant anxiety and that he would like to avoid them as much as possible.