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Coping and support

By Mayo Clinic staff

Living with cancer newsletter

Subscribe to our Living with cancer newsletter to stay up to date on cancer topics.

Living with the concern that your bladder cancer may recur can leave you feeling as if you have little control over your future. But while there's no way to ensure you won't have a recurrence of bladder cancer, you can take steps to manage the stress.

Over time you'll find what works for you, but until then, you might:

  • Have a schedule of follow-up tests, and go to each appointment. When you finish bladder cancer treatment, ask your doctor to create a personalized schedule of follow-up tests. Before each follow-up cystoscopy exam, expect to have some anxiety. You may fear that cancer has come back or worry about the uncomfortable exam. But don't let this stop you from going to your appointment. Instead, plan ways to cope with your concerns. Write your thoughts in a journal, talk with a friend or use relaxation techniques, such as meditation.
  • Take care of yourself so that you're ready to fight cancer if it comes back. Take care of yourself by adjusting your diet to include plenty of fruits, vegetables and whole grains. Exercise for at least 30 minutes most days of the week. Get enough sleep so you wake feeling rested.
  • Talk with other bladder cancer survivors. Connect with bladder cancer survivors who are experiencing the same fears you're feeling. Contact your local chapter of the American Cancer Society to ask about support groups in your area. Or contact CancerCare at 800-813-HOPE, or 800-813-4673, for information on telephone-based support groups. Online message boards, such as the American Cancer Society's Cancer Survivors Network and the Bladder Cancer WebCafe, are another option.
References
  1. What you need to know about bladder cancer. National Cancer Institute. http://www.cancer.gov/cancertopics/wyntk/bladder/allpages. Accessed Feb. 17, 2010.
  2. Bladder cancer treatment (PDQ): Health professional version. National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/bladder/healthprofessional/allpages/print. Accessed Feb. 17, 2010.
  3. Smith DC, et al. Carcinoma of the bladder. In: Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone; 2008:1635.
  4. Bladder and other urothelial cancers screening (PDQ): Health professional version. National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/screening/bladder/healthprofessional/allpages/print. Accessed Feb. 17, 2010.
  5. Bladder cancer. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/PDF/bladder.pdf. Accessed Feb. 17, 2010.
  6. Guideline for the management of nonmuscle invasive bladder cancer (stages Ta, T1 and Tis): 2007 update. Linthicum, Md.: American Urological Association. http://www.auanet.org/content/guidelines-and-quality-care/clinical-guidelines.cfm?sub=bc. Accessed Feb. 23, 2010.
  7. Messing EM. Urothelial tumors of the bladder. In: Wein AJ, et al. Campbell-Walsh Urology. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/185270227-3/0/1445/0.html. Accessed Feb. 23, 2010.
  8. La Rochelle J, et al. Chemoprevention of bladder cancer. BJU International. 2008;102:1274.
  9. Boehrn K, et al. Green tea (Camellia sinensis) for the prevention of cancer. Cochrane Database of Systematic Reviews. 2009:CD005004.
  10. Busby JE, et al. Chemoprevention for bladder cancer. The Journal of Urology. 2006;176:1914.
  11. Castle EP (expert opinion). Mayo Clinic, Scottsdale/Phoenix, Ariz. March 7, 2010.
DS00177 April 10, 2010

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