Wayne,
With a tumor that size and the wait you have it is VERY MUCH worth your while to get to the top bladder cancer surgeon you can get.
Bladder cancer is VERY FREQUENTLY understaged. So regardless of where you get the TURB done, you will need to get another one done at about 6 weeks after.
You can't tell from a CT scan if it is superficial or in the lymph nodes unless it is very advanced.
Think long and hard about getting to a top bladder cancer specialist now.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...