“Sloughy material present from previous tumour procedures”

My second TURBT said necrotic material removed, which sound similar - essentially debris resulting from first TURBT. Choices should still be BCG or surgery, but be sure to question consultant as to why they recommend one rather than the other. Always a difficult decision, important to weigh up pros & cons, risks & benefits in relation to your personal circumstances & what sort of risk you are prepared to take. 

I had TaG3 & actually chose surgery for various reasons including best chance of cure & ability to get on with my life without worry. At that time I was 57, still working part time & with an elderly mother. Now 11 years on, I don't regret my choice.

Thankyou Teasswill..that’s most helpful.. 

Hi Ivan263,I had necrotic and sloughy material removed during a turbt.Due to a chronic bladder disease BCG was not suitable and the cancer was causing an obstruction.I had to have bladder removal as I had Squamous cell which tends not to respond to radiotherapy/chemotherapy.You should be given the opportunity to ask questions and get all the facts before making a decision.I had no choice but am living a full life 3 years on.Best wishes Jane 

winkers60 Thankyou Jane .. I will wait on final histology - so want to keep my bladder but if histology says otherwise I think I am increasingly thinking of radical surgery.. albeit , it scares me. 

I hope you can keep your bladder.There is plenty of support and advice here whatever happens.Best wishes Jane