I noticed blood in my urine for over a year before I was referred to urologist where in situ was diagnosed. Had surgery to remove in situ. Then, during follow-up appt. to start bcg, urologist said he found a a grade T2B muscle invasive tumor during in situ surgery that he missed during initial scope. So, his recommendation was bladder removal (cystectomy) that would be replaced with urostomy bag. This was a large medical organization that offered only this procedure to treat my condition.
My second opinion was conducted at the urologic oncology dept. at a premier medical center where we live in California with lots of doctors who specialize in treating bladder cancer. (My wife searched for the best rated bladder cancer hospitals in California, chose the one we liked, read about the doctors there, and made an appointment with a doctor we liked.) The doctors here are all highly skilled and experienced and do a high number of urinary cancer procedures. And, I will say that by discussing my condition and options with a doctor who is an expert in this field made this part of our journey much less stressful.
So, because of my diagnosis, (I listened to my doctors recommendation) and had my bladder and prostate removed via radical cystectomy with neobladder. I was in the hospital for one week and recovered at home for 4 months. I was 50 years old when I had my surgery and have lived with my neobladder problem free for over 20 years.
Anyway, sorry for the long post but I want you to know that your quality of life can be fine when you put your trust in highly experienced doctors
who specialize in treating bladder cancer, and who are almost always associated with major medical centers and teaching hospitals.
Tim