Wow...lots of questions. Your second Uro is right and how lucky you are to have gotten that second opinion and re-turb. Thats one of the biggest problems with this cancer...uro's who do not see a lot of bladder cancer sometimes do not get a sufficient sampling into the layer of the muscle for the pathologist to look at..and if margins are left you definately can have reseeding of the original tumor. USC/Norris is a great hospital specializing in bladder cancer....either one of the Dr. Skinners are both in best docs in the USA...and since they see so many bladder cancer patients they also will do nerve sparing surgery if you are a candidate for it..a lot depends on what they see when they get in there.
As for diversions..you can't compare the male to the female answers. And i don't care what they write or how hard they want to sell neobladders to women..women do not have the same results. Their urethra is much shorter and ineveitably they will have to cath to get out residual urine and are much more prone to UTI's than men. The neobladder seems to work out pretty good for the men depending on compliance and age and the skill of the surgeon.
Here is the bio of Eila Skinner at USC/Norris
www.doctorsofusc.com/doctor/bio/view/117
And here is Donald Skinner
www.doctorsofusc.com/doctor/bio/view/109
As for not being able to take the entire tumor away....not always true..depends on size and location and methods they use. On my Re-turb which was done by a first rate surgeon in NYC he removed all of the residual margins and tumor. An alful lot of results in my opinion is based on the single solitary skill of the surgeon...thats it! They are not created equal.
Most surgeons will not even let a male know there is another option to the neobladder besides the outside ilial conduit. There is also the Indiana Pouch which is what most women choose. Thats what i decided on for my personal reasons. I have a navel stoma which is quite accessable and the pouch lies just behind it. It does not bulge at all and my stomach looks normal believe it or not..All scars are gone. You do have to train it just like the neo but once it gets the idea that its a bladder and not a colon it behaves pretty well. I am over 5 yrs out and only have to cath during the day maybe 4 times and i sleep through the night. The downside is you do have to cath..but insurance will now pay for 200 catheters a month so you do not have to reuse. Medicare sets policy on that and they just made that revision.
You've been recommended to an excellent facility and should have a great
outcome. Once its invasive the bladder has to go..don't mess with it...get it out of there.
There are many men on this site with a neo who are very happy with their choice. Hope Tim and others will chime in.........Good luck........Pat