I have had NMIBC intermediate grade recurrent cancer for 9 years. I had 9 turbts. I have cystoscopies every 4 months. I have been thru 3 BCG series + many immuno- therapies including gemcitabine, gemcitabine/docetaxel together and mitomycin. I had short spurts with no cancer but then it comes back as small tumors. At my last two cystoscpies my urologist suggested that he remove very small tumors in the office. I agreed and he did so with 2 small tumors at my last cysto. It was not particularly painful and is over quickly. My experience was a slight stinging sensation but nothing horrible. I think this is better than another Turbt. My bladder is already full of scar tissue from all the turbts I had before. I would encourage you to try. If you have a similar experience to me it will be the right decision. Hope this helps. Good Luck,