Sorry that you have to join our relatively "exclusive" club! Your urologist appears to be right on the money. A second opinion when you have been given such a recommendation is an absolute must. And you should get it at a center that sees lots of bladder cancer cases, even if it means a bit of travel. If you tell us where you are located, others here may have suggestions for you. Also, on our Home Page, there is a Treatment Center Finder that you can use to find such a place near you.
Other than the fact that it is multifocal (appearing in more than one location), you should also ask if the pathology report shows whether it is still localized to the bladder lining, has gone into the underlying layers, or into the muscle. In fact, you should have a copy of the pathology report. This information should help you, and your doctors, come to a decision about the best course of action.
Please remember that there is a lot that can be done for bladder cancer. IF it is indeed necessary to have your bladder removed, this can be curative. Many people live full and satisfying lives without a bladder. Should you have your bladder removed, there are three general types of diversions and you will want to explore all of them to chose which is best for you. But first, get that second opinion!!
Wishing you all the best
Sara Anne