Looking For Opinions

Hi Everyone,

I am a 25 year old Male and am newly diagnosed with Stage TA non aggressive bladder cancer. Back in January ‘19 I woke up one morning randomly urinating blood which was something I have never experienced before. Went to my normal physician and he assumed for my age it was kidney stones. I went and did a CT scan without contrast and nothing showed. He prescribed me some uti antibiotics and told me to come back if it happened again. A couple months later I experienced it again. I went to a local urologist and brought my ct results. He assumed the same thing being that I am 25 that it probably wasn’t anything serious. He got me on his schedule for a cystoscopy at a local surgery center. It was about a 6 week wait because of Covid. During that time the blood happened again, this time with large clots and lasted about a day and a half. I went to the ER and they did another CT scan but this time with contrast. They found a mass on the right side of my bladder. When this all happened I notified my urologist and he was able to move me up in his schedule for the cystoscopy. I went in and they found the large mass, used a turpt to remove it and he immediately let me know that he assumed it was cancer. I went into his office the next day and did one treatment of metomyicine. Once I got the pathology back he recommended 6 weeks of BCG treatment. Ion this time I also brought my results to a cancer hospital to see a urologic oncologist for a second opinion. His opinion was to not jump into the bcg treatments right away. And get a re-turpt. Being that I have such a low grade and stage and it was only one tumor he recommended that and than to monitor it every 3 months. I brought this info back to my local urologist and he argued that the cancer doctor didn’t actually see into my bladder and only reviewed the results. He said he would argued with waiting on the BCG but my tumor was very large compared to most and that worried him. He said it wasn’t worth waiting the time it would take to get the returpt and than the healing process. He said I should treat my cancer right away.

Has anyone been in this position before and have any opinion whether I should start my treatments (I would be starting this upcoming week) or should I wait and get the returpt and be monitored from there?