Hmmmmmmmm....well i'm kind of surprised why O'Donnell picked Mitomycin as first line since he's been doing trials with BCG and Interferon for some time
www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TD3-4G6XT8D-N&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=85c98a0104e2b8748edd5739fed743a3
He may not have mentioned follow-up as yet as he wants to see what you do with the initial course of BCG/Interferon???
There are many reasons why say a T1 would be recommended for early cystectomy....multiple tumors is one of them and/or progression to a higher grade.
He has a reputation as a great doctor in this field. You are probably in good hands as there are not many out in that area of the country.
If you would want a second opinion and your insurance allows I'd make that trip to MD Anderson, Memorial Sloan in NYC..top Cancer Hospitals or The Cleveland Clinic or Johns Hopkins in Baltimore..the top Urological centers who also specialize in bladder cancer. If you need names i've got those too.
I personally had 6 opinions....sort of overkill huh? Dr. Herr at MSK did my second TURB and i would have stuck with him but he did not want to do the Indiana Pouch which i wanted. I was already invasive at that point. So i did my research on women and bladder cancer and specialists who can do the Indiana and went to see them...Schoenberg at Hopkins, Stein at USC/Norris, Bierhle at Indiana U (where they invented the pouch), Mass General just to hear them out on bladder sparing, and Dr. Inderbir Gill at The Cleveland Clinic. I chose Gill but wouldn't have gone wrong with any of them...and none of them disputed the pathology of Memorial Sloan.
Sorry for the long post.......Pat