I had a cyscoscopy and my dr says 50-50 that is bladder cancer, so to say 50-50 is for sure that i have cancer?

No: For sure would be 100%, no? I do not know what he/she meant with that statement but i assume he/she is waiting for a biopsy result. See what comes out of that before you get too anxious. If it is cancer, make sure you follow your doc's advise. Either way i wish you the best.

Equal chance not: Assuming your urologist saw a suspicious non-papillary area and biopsied it, he is telling you that in his experience it is just as likely to be benign as malignant. The pathologist's report will determine.