Yes you are definitely in the right place, among those who have "been there, done that." George has shared his valuable insight with you...he is a trooper!
Most of us will never know what caused our bladder cancer. One day some sneaky cell just got out of line and started a tumor! The day I heard the "cancer" word was horrible. But now I am 6 years past diagnosis (2 TURB and the full BCG regime) and, so far, cancer-free.
You want to be sure that you are being treated at a place, and with a urologist, who has experience in the treatment of bladder cancer....one who sees many cases a year. Many urologists have a lot of experience with prostate issues...with bladder cancer, not so much. Since yours has returned, you may want to take a fresh look at it with a second opinion on where to go from here. If you are interested, there is a "Treatment Center Finder" on our home page, or you can tell us where you are located, geographically, and other members may have suggestions for you.
Many patients are somehow afraid that they may offend their current doctor when they seek a second opinion to review their situation. ANY REPUTABLE DOCTOR WOULD WELCOME A SECOND OPINION. The best result is that you find that all the recommendations your current uro is making are right on. The second best is that, if they are NOT, you are offered other options. You are the one in control of your future, and it is your responsibility to take charge of it. IF you decide on a second opinion, it might be a good idea to let the new expert do the TURB as a check.
The reason that I am recommending a second opinion in your case is that first, you are on the young side for a bladder cancer diagnosis and second, that it has returned. As you said, you need all the very best information and treatment as you will be dealing with this, hopefully, for at least 60 more years!!
Sara Anne