Hi all, I had my first TURBT on 12/8. The path report called it "Stage 1, predominantly low grade, with some high grade areas." My Uro said that, though my tumor was most likely going to behave like a low-grade, we needed to err on the side of caution and treat it as a high-grade. So I had my second TURBT yesterday and will start BCG in mid-January.
He had explained to me that I needed the second TURBT to make sure the tumor didn't invade the muscle. But yesterday he told me that he hadn't taken any muscle tissues during the first TURBT. So if this is standard procedure, how is it possible that anyone gets a diagnosis of Stage 2, or beyond, with their first TURBT? Should he have taken muscle tissue the first time, or is that only done if the surgeon suspects invasion? What would be the reason for him not to?
Thank you!