So I have been on a few message boards and I am getting a sea of messages indicating that a Radical Cystectomy with Chemo performed for non-invasive high grade tumor.... Isn't that a little extreme? My dad's doctor is saying another biopsy with course of treatment of BCG- and there is a 90 percent effectiveness of treatment. If it comes back the efficacy of BCG then diminishes and then Radical Cystectomy is recommended.
I guess everyone has a different threshold but my father's urologist told us that a RC at this point would be an extreme measure but left it to us to decide what to do. His recommendation is the second TURB, with BCG and monitoring.
My dad's second opinion is coming up next week but his urologist and oncologist both said the same thing.