Mark,
I am sorry to hear of your fathers recent concerns with bladder cancer and possible metastisis.. my husband is 67, he had an r/c to remove his bladder last Sept 14th, 2007. He to was a smoker but as I have found out here on the forum many with b/c are non smokers, in fact health conscious people who work out etc. In our case my husband has fully recovered with an outside bag, no cancer elsewhere so no need for chemo or radiation...who knows what causes this horrible disease, lifestyle may be the culprit for some. For your dad keep a possitive outlook, it is so important, if he is able to have an r/c and he is not metastisized he will prevail, but he needs help along the way..emotionally. Keep us posted on his journey, so we can be of help to both of you.. I am not knowledgeable enough to talk about his treatment if he is indeed metastisized, many others are here on the site, my thoughts are with you in any case!!!!! Ginger