Mayo clinic has a more comprehensive test of their own called Galleri, but it costs $950 out of pocket. I believe American Cancer Society is years behind in accepting modern medicine. They wait for FDA approve and don't care if you die while waiting. How many people died because FDA waited to approve Covid-19 vaccine, and then only under Presidential order.

Suggest you talk to responsible doctors or trusted websites that are dealing with your specific issue.
Please take responsibility for your own treatment; IT'S YOUR LIFE.
I don't understand why you aloud a urologist to treat your cancer(not their primary training or responsibility).
Sorry you have suffered because of it.

https://www.natera.com/oncology/signatera-advanced-cancer-detection/patients/bladder-cancer/#:~:text=Each%20time%20you%20get%20a,be%20interpreted%20by%20your%20doctor.