Hi,
It just makes you wonder why they did not remove the urethra last year along with the bladder-it's quite common and only neobladder recipients retain the natural urethra...and they must qualify to strict criteria. Still, it can happen that someone gets urethral recurrence.
I'm not a medical professional, but I would think that this would qualify as a regional recurrence, not distant metastases, and thus be more treatable. That's the norm with many cancers, esp. bladder cancer, which recurs very frequently in the bladder itself as well as the upper tract (kidney or ureter), and these are not considered as grim as distant mets.
I guess there will be more chemo in store, unless they feel it's treatable with surgery.
Please keep us posted on how things go. I wish you and your father all the best,
Wendy