Re TURBT When & Why

My comment about the BCG was because you mentioned that you had "side effects and cystitis" that were still present.  I have no idea what the future holds for additional BCG!  Often, if side effects are too cumbersome, the dose can be reduced.  You may not even need to do reduce the dose.

A second TURB is often done 4-6 weeks after the first IF there is a question about the diagnosis from the first one.  In my case the initial path report noted low grade papillary but also "areas of unspecified irritation.  My urologist did the second to look specifically at those areas and found CIS.  Your urologist evidently was satisfied with the first result but now wants to see what is there now.

Let us know the results! 

Sara Anne

Your urologist is absolutely doing the right thing.  With a diagnosis such as yours, high grade papillary bladder cancer, he will want to be SURE that the diagnosis of Ta is correct as well as check to see that the BCG has been effective.  This is especially important since you appear to have had side effects which probably will limit the use of BCG in the future.  In addition since he knows where the original tumor was located he will be better able to biopsy sites that he wasn't aware of during the first TURBT.

Not sure exactly what you mean by wondering if it is "too late."  You were just diagnosed last September with what appears to be very early bladder cancer.  It is unlikely that there has been any significant change in the 4 months since then.  The course that your urologist has suggested will make sure that the diagnosis was correct and will help plan your future treatment plans.  Sounds as if you are in good hands!

Sara Anne