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KoalaGuy,

I am attaching a long file that I copied years ago when I first confronted cancer. There are too many questions. Just pick and choose what fits you.

Plus, here is a link on the different types of diversions with pros and cons. Just copy and paste it: my.clevelandclinic.org/health/treatments/12546-urinary-reconstruction--diversion . The important thing is to pick a surgeon that does many of whatever you choose (25-35+ a year). Some will simply steer you to what they know how to do, you are in charge here so pick a surgeon you are comfortable with. By the way, most people are comfortable with whatever they have chosen.

Ask away as you have other questions.

Sorry to hear your diagnosis, but welcome to our “exclusive “ club!

First, if you haven’t already, be sure to get a copy of your pathology report and begin to keep a file of ALL your medical records. You may very well may want to refer to them in the future.

I assume that your urologist is advising a radical cystectomy with chemo prior and that is why the referral to an oncologist? You will want to know exactly what type of chemo they are recommending and what the alternatives might be as well as the time-frame.
Be sure to take notes and, if it is possible, have someone come with you to take notes. We are not always able to remember what we hear when we are under stress!

After you have had a day or so to digest all of what you have heard you will need to decide whether to go with the recommendations that have been made or to seek a second opinion at a place that treats lots of bladder cancer patients such as a medical school urology department or a National Cancer Institute designated cancer center. Yes, this is something that does need to be taken care of relatively soon, but you do have time to obtain all the information that you need in order to make an informed decision. Not everyone needs a second opinion but you must be sure that you are comfortable with the option(s) presented to you.

Wishing you all the best

Sara Anne