Alan,
She did mention BCG, so perhaps she meant if it was muscle invasive and high grade it would be bladder removal not just if it was high grade. This was said before the procedure and I was nervous but not drugged yet. so I actually asked again after hearing the words bladder removal. My companion was not really familiar with diagnosis, so she said she didn't remember hearing anything else except that either.
I thought even with muscle invasive there were some options for chemo or radiation. I think there is a site here for reading the procedures for stages. She said there was a limit to how much she could really see with the naked eye and that pathology would determine the result.
DX 10-19 First TURB Low grade, non invasive papillary urothelial carcinoma pTa. Recurrence 11-19 Second TURB DX Papillary Urothelial Neoplasm of Low Malignant Potential (PUNLMP)
Second recurrence discovered June 8, 2020 six months later.