Follow up

Question 1

nice guidelines

Answer 1

cystoscopy at 3 and 12 months
then discarge
no cytology

Question 2

MIBC follow up

Answer 2

Upper tracts HN , stones, cancer
Use imaging and GFR annually
CT abdomen pelvis chest 6, 12, 24 months

Annual met acidosis and B12 and folate def

Urethra monitoring cytology with urethral washing and or urethroscopy annualy for 5 years

Question 3

incidence new urethral recurrence after RC

Answer 3

4.4%

Question 4

rate of distance recurrence

Answer 4

up to 50% of patients treated with RC for MIBC

Question 5

MMT follow up

Answer 5

rigid cystoscopy 3 months after radiotherapy has been completed,

followed by either rigid or flexible cystoscopy:
－ every 3 months for the first 2 years then
－ every 6 months for the next 2 years then
－ every year thereafter, according to clinical judgement and the person’s preference

upper-tract imaging every year for 5 years

• monitoring for local and distant recurrence using CT of the abdomen, pelvis and chest, carried out with other planned CT imaging if possible, 6, 12 and 24 months after radical radiotherapy has finished.