I am newly diagnosed with High Grade UTUC. My doctor is going straight for the removal of my affected kidney and ureter. He is not in favor of the newer options in my case. What bothers me is that cytology of my urine shows cancer cells present, but he doesn't do the one time chemo for the bladder to kill any stray cells that might be lingering there. My husband had low grade UC and after removing the little cancer, they did that treatment to his bladder. I asked about it and his answers really didn't ease my concern. I see my nephrologist June 2nd. My surgery is scheduled for June 18th. Why would he not want to kill off stray cancer cells that are in my bladder?