This is always a choice, but usually the Dr. weighs in with his slant.
Obviously there are pro and con to each procedure. Age and Physical fitness weigh in on each choice. I was told that a age 53, I was on the bubble age-wise for the neobladder, but my health was good, so I qualified.
I am sure the time on the operating table for a neobladder (in excess of 6 hours, to 10 hours) as they have to "manufacture" a bladder from your small intestine, is a consideration. Other diversions require less time for the Dr. to perform.
I can only speak for myself.... a neobladder man. The surgery was BIG TIME, and the recovery was kind of slow and frustrating at times. I basically had to train my body to the new organ. Most neobladder people have a lot of incontinence early on and you have to have a sense of humor during the time of training. After 7 months, I was able to control my daytime incontinence and feel confident. Some have quicker results and others have longer periods of recovery.
I am 4 years out of surgery and I am still having some night time leakage. But I live with this........ happily
I do everything I used to do. Yes, even the ability to have sex has returned because of nerve sparing surgery. But that took a long time and I thought it would never return.... but it did!
There are other diversions out there and someone on this site has had it. I am sure they will weigh in on their experience.
It just surprises me that the good Dr. at MD Anderson did not do more than give you a "coin flip" of a choice. The 2 diversions are so different in their impact on your life. If I was YOU, I would go in and discuss the procedures and make an informed decision based on your husband's lifestyle and physical ability.
Please stay tuned to this thread as I am sure others will weigh in quickly.
George