Follow-up Visits

Stage/Grade

Recommended Follow-up After Surgery

Ta/G1 or 2

Cystoscopy every 3 months. Your doctor will increase the intervals between cystoscopies as appropriate.

Ta/G3

Cystoscopy and urine cytology every 3 months for 2 years; then every 6 months for 2 years; then once a year.

T1/G1,2, or-3; T2

• Cystoscopy and urine cytology every 3 months for 2 years; then every 6 months for 2 years; then once a year.
• Imaging studies (IVP, CT or MRI urography, kidney ultrasound with retrograde pyelogram) of kidneys and ureters every 1-2 years.
• Urinary tumor markers (optional).

Patients who have not had radical cystectomy

Follow up with your every 3 months with urine cytology. If cytology during any of these visits is positive, possible additional treatments of BGC or other therapies may be recommended.

Patients who have had radical cystectomy

• Follow up every 3 months: urine cytology, blood tests: liver function tests, creatinine, and electrolytes; and chest x-ray.
• Imaging studies (CT or MRI urography, kidney ultrasound with retrograde pyelogram) of kidneys and ureters every 1-2 years, then as clinically indicated.
• For those with a continent diversion, monitoring of vitamin B12 once a year.
• Your doctor may order a urethral wash cytology every 6-12 months.
• Your doctor may order follow-up

Recurrence after radical cystectomy

Radiation therapy alone or
Chemotherapy alone or
Chemotherapy and radiation