We met with Dr. Dachet, the urologist at Huntsman, on Thursday. They did a scope of the inside of Curtis' bladder and he said the inside looks good. But the tumor is either attached to the prostate or the bladder, and they think it is the bladder because when Dr. Griffen did his ileostomy, he said that it was attached to the bladder. We really won't know anything else until surgery. If they have to remove the bladder, they automatically remove the prostate as well because the prostate is so close to the bladder, if the tumor invaded the bladder, it most likely did the prostate as well.. After looking at the inside of his bladder he says that he is "encouraged" and hopes to not have to remove the entire bladder. If they do have to remove the bladder they will do this procedure:
An ileal conduit is a small urine reservoir that is surgically created from a small segment of bowel. The ureters that drain urine from the kidneys are attached to one end of the bowel segment. The other end is brought out through an opening in the skin (a stoma). The stoma allows the patient to drain the collected urine out of the reservoir.
People who have had an ileal conduit need to wear a urine collection appliance outside their body at all times.
The urologist will save what he can while still "curing" Curtis, but if there is a chance of leaving any cancer behind, they will remove what they need to. Curtis is having an especially difficult time the past few days trying to cope with the new news.. I am surprising him with a night at the Alaskan Inn tonight and we are going to go around downtown Ogden and the train station where we had our engagement pictures done.. So, SSHHHH... DON'T TELL..