New here; TURBT #3 soon

Just a follow-up...I had the TURBT yesterday. Now comes the wait for the pathology report. There were a few very small tumors and one that the doctor described as closer to medium sized. I had mitomycin in conjunction with the surgery. No side effects from that (as yet) but have a prescription for Pyridium just in case I have burning.

Initially I was told I wouldn't have to go home with a catheter this time, but because the one tumor was larger sized, I have the cath until tomorrow, which is no big deal after having them for 5 or 6 days after the other surgeries.

I gave a detailed account to the anesthesiologist about my experiences after the second TURBT (the shaking and uncontrollable jaw clenching in recovery room, and bad sore throat and muscle pain in the days afterward.) She went down a size with the breathing tube and made some sort of adjustment in the muscle relaxant procedure, and I'm much better this time. Woke up shaking-free in recovery. Felt completely normal within an hour, probably could have driven home (but of course did not.)

Hoping for the best pathology report possible.

Thank you, Alan. I guess I was spooked at the thought of a possible future cystectomy and whether such a young doctor could possibly have performed very many of them on females in the small state of Delaware. I don't have the option of going out of state. It looks as though the best/most experienced couple of doctors here in Delaware from whom I'd consider seeking a second opinion are at the same practice as my doctor. (Is that a thing? Getting a second opinion from the doc down the hall?)

Thanks again. I've spent the morning reading every word of every report available to me through the urologist and hospital patient portals (and since the pathology reports weren't in either place, I called the urologist office yesterday and had them emailed.) Ultrasounds, a CT scan, an MRI, path reports, surgical notes, patient visit notes...no mention of CIS.

At the hospital with the first procedure it was mentioned to me that I might have to have a nephrostomy tube due to the position of the large tumor, possibly blocking the right ureter, which she couldn't visualize during the surgery. That didn't end up happening. The CT scan at the hospital after the surgery, and ultrasound after the second TURBT, showed a urinary spray from the right ureter, and no kidney enlargement or other inflammation that would be seen with a blockage. But I'm still concerned I might wake up with one after this next TURBT. The little I've researched shows the tube coming from the patient's back, which means care of the site would require someone else (which worries me because it's not something I would want teens to take on, but I really don't have anyone else). The procedure for changing the leg bag and tubing also looked complicated and somehow scarier than the process of switching from the large bag to the leg bag of the urinary catheter (which I didn't do anyway). Does the need for the nephrostomy tube ever go away so that it can be removed?

One more question that someone may be able to answer...I have rheumatoid arthritis, currently in "remission," and I'm on a several-year break from the methotrexate I took for about 5 years. Anyone else with RA?