Sol,
Sorry to hear about your results. I believe you had discussed in another post that you were thinking about traveling to Phoenix to see Dr. Lamm (and I think you have communicated with him via email as well). My suggestion is to make that trip (or a similar one to a closer onc-uro facility for a second opinion) and to visit the "invasive" portion to hear from people who have undergone RC. My tumors recurred twice, but all stayed TaG1 - so far have been clear for almost a year (with initial BCG and maintenance), so I cannot say that my experience is similar. I hope to never have to make the same decision you are faced with, but I would want as much info as possible before I did. I would consider second opinions, understaging, and ultimately trying to be cancer free to live as long and healthy a life as possible.
Good luck to you,
Ross