I am a bit puzzled, as everyone else seems to be, about the recommendation for chemotherapy (via an oncologist...not just mitomycin post TURB). Have you had any tests other than the cystoscopy, such as CT? I would think that until the pathology reports are back from the TURB the urologist would have no idea whether chemotherapy is indicated or not. As others have mentioned, BCG is usually the treatment recommended for a first recurrence UNLESS THERE IS EVIDENCE THAT THE CANCER HAS SPREAD OUT OF THE BLADDER. If it has spread into the lower layers of the bladder, the recommendation is for bladder removal.
I certainly concur with the others that a second opinion here is absolutely indicated. You need to find a urologist who handles LOTS of bladder cancer cases, preferably one in a university/cancer center. You can use our Treatment Finder on the Home Page or let us know where you are located and others can chime in with suggestions.
Sara Anne