Bob, the cells that were seen in my 2nd urine cytology test are cells that are probably in everyone's urine. The trasitional cells in the lab report doesn't really relate to a diagnosis of type or grade that I am aware. But, yes, my diagnosis was downgraded to a papillary TA 11/111 from the original diagagnosis 6 1/2 years ago of a "possible" T1a. I did not know as much as I do now about treatments dependant on type, grade and stage so went through 21 treatments of BCG before the original "possible" T1a was downgraded and retested at my request. Again, I want to emphasis to all how important it is to check and recheck tests and diagnosis before proceeding with additional treatments, surgeries that cause more emotional upheavels then necessary. My watchful waiting is based on the long term tests down by Dr. Soloway in Florida and also confirmed by Eurpean Urology of people with my similiar history of 3 to 4 recurrences of confirmed papillary low grade TCC. Watchful waiting is not for everyone but those who have similiar type, grade and history should conside it rather than constant and repeated TURBs, fulgerization or cauterization in my opinon.