BackTable Tumor Board S03 Ep. 25 Guide to Patient-Centered Counseling in NMIBC Care with Dr. Sima Porten and Dr. Pat Hensley
Oct 7, 2025
Dr. Sima Porten, a urologic oncologist from UCSF, specializes in bladder cancer and patient-centered care, while Dr. Pat Hensley from the University of Kentucky focuses on clinical trials in the same field. They discuss tailoring treatment for non-muscle invasive bladder cancer, emphasizing the importance of personalized care and clear communication. Topics include managing patient anxiety during cystoscopy, the implications of the CISTO trial, and navigating patient preferences in treatment choices. Their insights provide a hopeful outlook on the evolving strategies in bladder cancer management.
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Set Clear Expectations For Diagnostics
- Explain diagnostic steps and expectations clearly to reduce patient anxiety during hematuria workup.
- Describe CT urogram purpose and cystoscopy tolerability so patients know what to expect.
Be Direct During Cystoscopy Feedback
- Describe exactly what you see during office cystoscopy and offer the patient to watch the monitor.
- Use clear terms like "cancer" when appropriate to avoid confusing patients later.
Ask How Much Detail Patients Want
- Ask patients whether they want the full pathway overview or prefer stepwise information before TURBT.
- If stepwise, still tell them three key points: expectations, perioperative gemcitabine, and possible re-resection.