bjw4253,
Welcome. Yes, BCG is usually used after 1 or 2 recurrences of low grade tumors, so it is time to get it. From what I understand the shortage is decreasing so I would certainly press to get it. It might be in more short supply in other countries so if you are outside of North America I am not aware of how that might affect you. Some other agents such as Mitomycin etc are used absent BCG as a bladder wash or local instillation although they are not quite as effective as BCG..