In Reference My Earlier Question , I Am Again Raising

Question: in reference my earlier question , i am again raising new request with more clarity & new finding.
have attached reports of Cystoscopy.
we understood from Doctor that Consulted with treating doctor as per his version Cystoscopy was completely normal and no suspicious lesion found; therefore, deeper Biopsy is not require. Since bleeding is still on while urinate, 5 days medication was given on 17th and asked to stop “CYSTOPEN 100mg” and “CRANPAC – D” (prescription attached)

Till the time 5 days medicine was one blood in urine was in control (very minimal) Yesterday as started with “CYSTOPEN 100mg” and “CRANPAC – D” bleeding started (No idea whether it is side effect of “CYSTOPEN 100mg” and “CRANPAC – D” or improvement shown due to new medicine)

kindly guide further.

find below details of earlier question answered by Dr. Indranil XXXXXXX

Question :-
Mr.Ranendra is under treatment for Urothelial carcinoma since March 2020.
he still have Complain of Bleeding.
we are request you to help to understand followings :
1: is attached line of treatment correct or do we need to see any other doctor
2:what is scope of improvement in this case ?
3. what is recovery period ?
4. is there any other way to treat this disease
Brief Answer:
We need to know if muscle involved

Detailed Answer:
Ho
Thanks for your query.

He has a high grade bladder tumor. The biopsy doesn't contain muscle tissue, hence we don't know if muscle involved or not. If muscle involved, then it changes the treatment. This is especially important as the CT showed perivesical stranding, implying possibility of disease spread outside bladder wall.

Hence I recommend a check cystoscopy to see current position and also to take deeper biopsy from operative site to see if any residual tumor is there and if so, does it involve the muscle or not.

After this, we can decide if anything else required or not. If nothing found in cystoscopy then life expectancy is like normal even though regular checkup is required to detect any recurrence which is possible in 20% cases.