Thank you both for your responses.
PET scan results today, there is spread to the left seminal vesicle....no other sign of METs. Lungs, liver, lymphs all appear to be clear! This is the best news since his diagnosis. Also, his creatinine was well back into the normal limits! So he is cleared for Chemo. If it stays low he will still be a candidate for any of the three diversions.
Today we met with the Surgeon, oncologist AND the surgeon who will place a port for the chemo. Whew, what a day- three hours of MD's, Residents, third and fourth year students, Nurses and Nurse navigators! It was all very well orchestrated with no wait times, constantly with someone who was focused on his care. I'm also please to say that the Oncologist is happy to see us here at Medical College of Georgia. (8 minutes away) even though we are still considering Emory for the RC and diversion.
Dannie - The surgeon states she doesn't favor the IP because her patients aren't happy with them once they have them. She also said that often those patients are back in for repair of the IP within 3-5 years because of wear and tear with cathing. Cynthia, have you seen this as a problem with other IP folks?
Feeling relieved and now a bit anxious about the Chemo.... Next step is a second opinion at Emory.
The port to be place the day after that and Chemo beginning on 1/18/17.
Surgery will likely be in April so we still have some time to decide and see how he responds to the Chemo.