Well you picked a good University. Dr. Guzzo is one of the younger Uro/Surgeons who did his fellowship at Johns Hopkins and probably worked under Dr. Malkowicz who is a top surgeon for bladder cancer at U of Penn.
I also had T2a but strangely enough low grade bladder cancer.
All my CT scans, bone scan, x-rays, and blood work ups indicated no spread so i did not have to do chemo and luckily it was contained.
I opted for an Indiana Pouch as a female with a navel stoma. Not every surgeon can do this one..its a bit more difficult than the neo or the ileal conduit. But i love it..no leaking, i have it trained to empty at 4 to 5 hrs during the day and can sleep all night. It takes a while to get the night time but its trainable.
I would ask your surgeon how many cystectomys he does a year and ask him if he can do all diversions. Your choice is important. So just ask away.