Warren,... do you think cystectomy is warranted in my situation (recurrences of TA papillar and CIS, failed BCG, but all non-invasive so far)?
Dear David,
I don't feel qualified to give you that opinion. I think your doctor is concerned that if you have many recurrences, you may become one of those who has a worse outcome by delaying cystectomy. But that's why you need a qualified second opinion - so that you're not pushed into something, and yet do what's best to keep you among us for a long time.
BTW, how about an 8 week course of Mitomycin C if the BCG hasn't worked? I's not better than BCG, but it's different, and it appears to have worked for me.