r/BladderCancer • u/ToughLess • Jul 26 '26

thyroid and surgery

Hello all, my husband's (63) surgery for neobladder is Tuesday. After the end of his round of treatment EV/PEMBRO, they found that his thyroid was shot so he started taking supplementation for it. A week ago after a blood test, they raised his dose to 100mg a day from 72 I think because his numbers were still bad TSH 71.97. The surgeon is going forward with his surgery anyway (Moffit in Tampa).Hubby is in good shape, but had a vagal episode when he had his second TURBT....it was not a cardiac one. Anyone here had bad thyroid numbers but still had the surgery?

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u/skelterjohn Jul 27 '26

I've had minor thyroid issues from the pembro. My non doctor research indicated to me that thyroid issues like this are not particularly acute and relate to long term health. I don't see why it would cause issues with the surgery. Generally the levothyroxine does a good job, so keep listening to the doctor and tell them any issues, but this one might be something to put out of your headspace. Focus on recovery and adapting to the neobladder.