Treatment timeline TULA

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Hi, I have a TULA under local following induction BCG for G3 cancer as there is not capacity for TURBT. Reading the NICE 2019 guidance on TULA, it seems to be riskier than TURBT under general. Has anyone come across this? Has TULA detection improved in the last few years? 

It seems I don't have any choice and to even have any appointment seems to be a gift. But I just wanted to know. Thanks