The reason that Mayo has the reputation they do is because they have some of the best doctors in the world. Listen to them over a local urologist every time.
You've had multiple recurrences and pretty much know where this is going. My opinion (but I'm just a guy with a neobladder with the mindset of aggressive treatment is the best treatment) is to have the RC now.
My thought process is that there are two options. Option 1, try something else even though you pretty much know where this is going and get an RC later. Option 2, get the RC now.
If you are wrong on Option 1, you risk spread of the cancer.
If you are wrong on Option 2, you second guess yourself for the rest of your (much longer) life and wonder if you could have gone without getting the RC for a couple more years.
When mine came back it was invasive when we caught it.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...
