What was the pathology of the two tumors removed? If they were low-grade, the usual procedure is what was done for your husband, removal of the tumor and a post-op wash with mitomycin. It is possible that the second tumor was present in September, but was missed at the time. Many uros do a second TURB relatively routinely to assure that everything is found/removed.
If these additional "lesions" are like a rash on the surface of the bladder, they might be CIS (carcinoma in situ) which is high grade and highly treatable with BCG. PLEASE REMEMBER THAT WE ARE NOT DOCTORS AND I AM NOT DIAGNOSING HERE...just listing possibiities!! If this is the case, it is also possible that this was present during the other biopsies and not detected. In my case the first biopsy found a small paplllary low grade tumor and some "areas of irritation." It was only during the second, follow-up biopsy that CIS was found since the urologist had a much better idea where to sample.
In any event, BCG would be the expected treatment. There is a LOT of information here in the Forum and on the website about BCG. It is very do-able and has a high success rate with high grade non-invasive bladder cancer.
Even if bladder removal is recommended, if the cancer is found before it has metastisized is is a definite cure. Many people lead full and happy lives without a bladder.
You really won't know what he is facing until after the biopsy/pathology are complete.
AND QUIT THE SMOKING!!
Best of luck to you both
Sara Anne