Diagnosed 6-4-26. Should I move forward with TURBT?

It is your decision, and everyone should respect that. I would try it. I'm sure they will closely monitor your blood flow during the surgery with electrocardiogram and blood pressure monitoring.

@royce I have no doubt they will closely monitor accordingly, that is their job. But things happen that are sometimes beyond their control. Like a plaque dislodgment or stroke. I just don't like the odds, considering my arteries are so bad. My doctor told me at my pre-op that I need to get in ASAP for a heart scan to see how bad that blockage is around my heart if it's that bad in my legs.

This is such a difficult and very personal decision to make. I will not weigh in on what decision you should make.
I will tell you that a year ago I had all of the symptoms you described and while I did have a malignant bladder tumor. I had it removed, and I’m in the process of treatment with no recurrence. I also feel much better than I did before I had the surgery. My tumor turned out to be a high grade non-muscle invasive tumor.
Is it possible for you to meet with an anesthesiologist to discuss your very legitimate concerns.
I sincerely hope you are able to get enough information to make the best decision for yourself.

I understand your concerns, but would talk to a vascular surgeon about your concerns and what precautions to take. Mayo Clinic is one if the facilities that AI refers to for further information on PAD history.
I had 3 TURBT’s before having a RC at the age of 76. My problem with the TURBT’s was excessive bleeding which Stanford always addressed.
Please consider not giving up. My prayers are with you no matter what decision you make.

Hi, first I send you healing thoughts and positive energy. I can tell you what I did and as few before me said it is your decision and all should respect that. I had a TURBT and they found and removed a bladder tumor and got the pathology needed for me to make a better decision. I had a tumor back when they checked for results with a cystoscopy (a minimally invasive procedure that allows a urologist to examine the inside of your bladder and urethra using a cystoscope.) With that info then I felt I had all the info to make a better decision. I was lucky and not at the muscular layer of the bladder so it looked isolated there. But a small tumor came back and was high grade. I chose a radical cystectomy which is a major surgical procedure to remove the entire bladder, nearby lymph nodes and a Neo Bladder. FOR ME it was the most curative option. It was a hard but manageable recovery and at my month 6 CAT scan I am still cancer free. I also use a holistic approach by consuming a lot of broccoli sprouts that helps build Sulforaphane, which is a powerful sulfur-rich phytochemical found in cruciferous vegetables like broccoli/sprouts thought to help health in general and possibly with cancer situations. I also use OSHA root as a tea and drops. (there are some medical studies on broccoli sprouts ). I hope by sharing what my cancer journey has been you can have more information for your decision. But please don't give up and always follow what your medical team recommends as they are experts in the field.