I guess it has been a few weeks since I have been on this site. I did go for a second opinion at Mayo Clinic, really liked the doctor and he is experienced in BC surgery, does all diversions and does robotic surgery. It was recommended that I have either Ileal conduit or Indiana pouch, so I am debating on those. I am not a candidate for neobladder because of the location of the tumor. I had a 6 cm muscle invasive tumor when diagnosed. He also agreed with having chemo prior to surgery with cisplatin/Gemzar for the next three months. I was to have a port put in two weeks ago, but ended up in the ER with severe pain a few days prior to having the port in. I was treated for an infection, so couldn't get the port done. This past week I had my first appt. at Mayo on Monday, and the doctor ordered a renal scan which I had done on Tuesday. After he read the results, I was scheduled to have a nephrostomy tube placed in my right kidney on Wed. I am sure that saved my kidney as it was completely blocked. That was done late in the day on Wed. While I was in the recovery room at 7:00 pm, I received a call from the hospital which was three hours away, that I was to be the first case the next morning to have my port put in. So we left Mayo at 8:00 pm, drove two hours to get home, then got up at 4:00 am and drove an hour to the hospital. I guess there was difficulty putting in the port and it really hurts. Of course my arms are solid bruises from all the IVs and labs I had, so glad I have the port, I am to start chemo in two days. I think I am more afraid of the chemo now than the surgery. Trying to get mentally prepared for this!