Well, that certainly wasn't news you were eager to hear!!! And Catherine is correct in that they may very well recommend cystectomy (bladder removal). There is a LOT of information on this Forum from those who have been there/done that.
Another thing that you will see a lot of on this Forum is a recommendation that anyone facing such a serious diagnosis get a second opinion. An excellent urologist will welcome this (mine said that if it ever came to cystectomy...it hasn't... he would INSIST that I get one.) You are not far from several really good places in Phoenix. One is Dr. Donald Lamm at BCOncology, and the other would be Mayo Clinic there. The more information you "dig out" before making any decisions, such as type of diversion, the better you will be. The best result of a second opinion is that you will find out, as you suspect, that your current urologist is "right on" with recommendations and treatment options, as well as experience. And, if that isn't true, you would want to find out sooner rather than later.
You also want to have a doctor who specializes in bladder cancer (many urologists treat mostly prostate issues) and, should surgery be the recommendation, that he does MANY of these a year. Practice makes perfect....but you don't want to be practiced on!!!
Feel free to ask any questions you may have. There a many guys (guys and gals differ in some respects
) who can offer more advice.
Sara Anne