Warren,
You live in a great area with great urologists in every direction ..you've got Harvard, Mt.Sinai, MSK, etc, etc,..and i'm sure there are some bad uro's out there too but an abundance of experienced uro's with bladder cancer expertise not always the case in some Midwestern states or anywhere inbetween any of the coasts. I mean they are there but you do have to search for them. I live in a big city and we have one uro who does ileal conduits and another one who is just starting to do neobladders...forget the Indiana...they haven't heard of it!
Like you said the TURB is soooo important...they must get deep enough without perforating the bladder and they must get suitable margins and the top uro's can do that...mine certainly did not. It saved my life to go to a top cancer center.
Bladder Cancer Police Chief Pat