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Yes. I would very strongly recommend signatera, natera and imaging. The last thing you want to end up with is a full RC or worse once you are actually in surgery. Is your urologist a general urologist or oncologist urologist? My general urologist last year underestimated the urgency. So an oncology urologist is strongly recommended. Preferably at a NCI institute. Did he use blue light during his TURBT? CIS is notoriously difficult to detect and has a very high risk of recurrence elsewhere in the bladder, ureters and even upper tract.

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Replies to "Yes. I would very strongly recommend signatera, natera and imaging. The last thing you want to..."

@jaxfl
Thanks for your reply. My next cystoscopy will be a blue light with TURBT if needed. I'm sure my Urologist is not a oncology urologist but very well trusted in his community.

In addition to all this, I have a 2nd opinion scheduled with Memorial Sloan Kettering on 11/13 to confirm the findings and possible treatment options. In my honest opinion, if I am assured that there is/are no cancer present I will move ahead with the Diverticulectomy. Depending on the 2nd opinion of course, Even though this is a second recurrence for me, it feels all very new to me.