Al,
I don't blame you for being frustrated!
WOW! That's a lot of tumors.
I will tell you that I am VERY happy with my neobladder.
BCG to "slow it down" does not sound very appealing. How will they know how often to check back to see if it's invasive and if it's high grade, then how can they be sure that it doesn't go beyond the bladder muscle to outside the bladder before they catch it.
Doesn't seem worth the hassle of every six weeks getting TURBs to me.
We all have to make our own choices but if I had the reports you posted, I'd have probably opted for the neobladder in December 2008. The other factor is your concern that other health problems would make you not a candidate in 3 years.
Frankly, that one is a bigger concern with regard to neobladder. From a caregiver perspective, I believe I've read on this site somewhere that it is easier to take care of an Indiana Pouch or ileal conduit. The ileal conduit is the easiest, least risky surgery and takes much less time.
If you think you may be in a situation where your wife or somebody is going to have catheterize you on a frequent basis, then another option may be a better choice.
I may be over-reacting to that comment you made about 3 years down the road. If so, then disregard what I've said. If not, you may want to discuss the other urinary diversions with the doc at MD Anderson being sure he understands any other health issues.
Mike