Henry (70 years old)

Henry, a 70-year-old former creative director in a chocolate company, was initially diagnosed with a solitary small Ta low-grade (LG) tumour. He received 1 immediate chemotherapy instillation during transurethral resection of the bladder tumour (TURBT).

Follow-up cystoscopy after 12 months shows a 1 cm papillary tumour and TURBT is performed. Visual appearance suggests a low grade and he received again 1 immediate chemotherapy instillation. The pathology report confirms urothelial cancer pTa LG (muscle in specimen, no CIS).

He received mitomycin C instillations for 1 year. In the meantime, no recurrences were detected during follow-up.

His follow-up visit at 15 months post-TURBT:

• Cystoscopy: negative

The patient indicated he finds multiple cystoscopies burdensome.