I believe that you probably had TURB's, rather than cystoscopy? Cystoscopy involves the urologist using a very small camera to look inside the bladder, while TURB (transurethral resection of the bladder) is done under anesthetic so that biopsy sample can be removed and sent to the pathologist for analysis. It is NOT uncommon for bleeding to occur after a TURB....after all, pieces of the bladder were cut out. And an anti-coagulant would increase the odds of this.
We are not doctors here, just patients and families of patients like yourself. Your questions about anticoagulant use need to be addressed with your urologist asap since any changes would need to be made quite a while before further treatment.
As for BCG, first the urologist always checks urine prior to instillation. If there is any blood or infection present, they will not administer BCG until it is resolved. And since in your case the tumors have returned, a totally new series of 6 BCG instillations would be indicated; maintenance (3 treatments every three months) is used when there is no evidence of a return, to insure that it does not come back.
It is important for you to discuss the situation with regard to your anticoagulant use with your urologist. In addition, if the side effects of the BCG are too much to bear, the dose can be reduced significantly with no apparent loss of effectiveness. You need to discuss this with your doctor.
Sara Anne