Pavel,
There is not enough information to be able to answer you properly.
You say he had 3 surgeries for the bladder cancer. What was the stage/grade of cancer and what did he have done and when?
Multiple recurrences of high-grade cancer often lead to cystectomy. Complications have more to do with the choice of urinary diversion than the cystectomy itself. There are neobladder, Indiana pouch, and ileal conduit options for urinary diversion after surgery.
You don't want to just to a TUR if it keeps coming back. You know where it is going so might as well get rid of the bladder at that point (if high grade).
Complications depend on the skill of the surgeon. You want a surgeon that does 50 or more of these surgeries (the specific urinary diversion) a year. Those surgeons will be at the top hospitals. I am not familiar with the hospital you mentioned.
You say his current situation is non-invasive if I understand correctly. If that is the case, what systemic chemotherapy are you talking about? If it is non-invasive, he may not need chemotherapy at all.
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...
