You asked for advice? I am going to give you advice, and you may do with it what you please. I am going to talk to you like the proverbial "Dutch Uncle" and give it to you straight.
You have what could be a high grade bladder cancer (the dysplasia could be CIS) which has been caught very early, still confined to the bladder, with no evidence of any spread. This is exceptionally good news.
The other good news is that it is HIGHLY TREATABLE with BCG. You do not require systemic chemotherapy, which sends poison throughout your body and which can lead to serious side effects. Since the cancer is currently confined to your bladder, is it much more accessible to an agent instilled into the bladder than it would be to a systemic drug.
BCG is a type of TB bacterium, which is not nearly as virulent as the wild type. In fact, it was developed many years ago for children. Of course, with any biological agent cautions are recommended: bleach in the toilet is very effective. Hundreds of us on this Forum have gone through BCG treatments GLADLY. We have avoided the threat of losing our bladder and/or systemic chemotherapy. I am going on 4 years, cancer-free.
Yes, there is some discomfort associated with the treatments. Urinary urgency is one of them, but it is temporary and is a sign that the BCG has reacted with your bladder lining, which is EXACTLY what you want. The treatments are no big deal....some people, not everyone, it it true, even go back to work following their treatments.
Bladder cancer is my second cancer (I had breast cancer 16 years ago) and I am still alive and healthy.
It is just the way the ball bounces. Yes, when I got my diagnosis I said "why me...haven't I paid enough already?" But then you figure out the best way to treat it and go on with life.
BCG is truly a miracle for many of us. My advice to you? GO FOR IT!
Sara Anne