Erythema on bladder wall and in urethra

Thank you Jack, I should note the MRI is actually being performed by a GI doctor not my urologist, I went to the GI doctor once I started having that pebble like feeling to make sure it was my prostate and not a hemorrhoid or something else. He's the one that set me up with the MRI with/without contrast. I do have a virtual appointment with my urologists nurse tomorrow, I will ask the questions you mentioned here and I will also inquire why they decided not to biopsy the area (honestly if I hadn't asked for the write up from the nurse I wouldn't have known about the patchy etythema). 

Kdime

The visual identification of CIS - an thus the choice of where to take a biopsy sample - is a rather inexact science. From your description, the pending MRI is likely to provide helpful information about how to proceed.

Missing in your description is  the doctor's thoughts on how to find the cause of the blood and pain issues. Many doctors need to be directly asked about the issues that concern us.

What is the source of the blood ? How do we find it ?
What is the cause of the "erythema" - what can be done to eliminate or reduce it ? 
What steps can be taken to reduce bladder pain ?

Make a list of your questions and concerns and expect satisfying answers. You should never have to guess what the doctor is thinking.

It sounds like you are finally getting a more complete workup. Be prepared with your questions and concerns when you review the MRI results with your doctor. Keep in mind, that as described, you do not have a diagnosis of cancer at this point. You are working toward a diagnosis that may very well NOT be cancer. 

Best,
Jack

Thank you, thats what got me worried to. I wish a biopsy had been done, the only reason I can conclude he didn't do one is because possibly my age (42 years old) and the fact he found erythema in the urethra as well (maybe he is thinking its inflammation every where which would explain the steroids). Im almost off the steroids (have two more days left), unfortunately the inflammation doesn't feel like its completely gone. I do have another urologist I can contact, I may ask to do a biopsy if he finds something, going through a second cystoscopy is not something Im looking forward to. 

Has any of you had something like this (possibly CIS with inflammation in the urethral lining as well)?