I had my first in-hospital TURBT in 2007 (removing a large tumor plus a large bladder stone), my second in 2013, my third in 2016, and my fourth this week (June 2018). All these were performed in the hospital under anesthesia - to save me pain. Over the years, I have had eight other milder fulgurations of bladder tumors done in the urologist's office with just mild pain - so over the past 11 years, I have had bladder tumors removed a total of 12 times - 8 just from zapping in the doctor's office, 4 under anesthesia in the hospital. The last two visits to the hospital, I was told that he could have easily done the TURBT in the office, but he worried about causing me pain. Over the past 11 years, I have had 31 cystoscopies, of which 8 were followed by tumor resection in the office, and 4 which were followed with hospital visits. All the tumors so far have been non-invasive, and although I am 88 and have numerous aches and pains of old age, I feel generally OK even after numerous TURBTs. Each person and I guess each tumor is different, but if the tumors remain non-invasive, you can keep enjoying life for many years as long as you go in every few months for another cystoscopy to check for regrowths. Back in 2010, I had thiotepa treatment for 6 weeks, and following that, I had no regrowths for three years. Been trying to convince my doctor to try that again.