Hello Tim,
My Dad had the neobladder "put in" in July. I think doctor's are not performing the Indiana Pouch as often or at all since the neobladder is "better". Have you discussed this with your doctor and has he or she offered you both? My Dad had some set backs with metabolic acidosis but is on the road to recovery. Every doctor is different, but make sure you ask about this and are aware of it.
I personally think the neobladder is the way to go... whatever that is worth
Take care, I'll have you in my thoughts.
Karen E.