Recently diagnosed of bladder cancer

Kofi

Hello everyone. I am 46 and was recently diagnosed of bladder cancer of low grade when I found a voided cauliflower looking tissue in my urine and submitted it for histological appraisal. Following TURBT the second histology shows non-invasive high grade but could provide staging due to absence of muscle tissue in the biopsy submitted. However, CT scan shows that the bladder is well distended and normal in appearance, with no suspicious focal mural thickening or calcification.

The doctor has given me to options; 1. To go for a second TURBT or 2. To opt for cystestomy. Please your advice will go along way to help me navigate this path. Many thanks.