@gamaryanne good luck with surgery? Is it really needed? I was told about 1 year ago it was very small and it's presence hadn't been mentioned on any image reading since - which is odd to me. I skipped eliquist for 2 days or 4 pills at 5mg each. The Dr tried 2 cystoscopies about 2 werks apart. When he was unsuccessful in getting a biopsy? I went to city of Hope in Irvine. That urologist told me not to go off blood thinner begore surgery but I thought he was wrong based on former urologist and went off for 2 days. Well he was right. I went to. ER for trouble breathing and turned out I had 2 blood clots in my lungs where they thought it was a month old. Good luck to you!