Just diagnosed with small cell carcinoma bladder cancer, based upon path report from recent partial cystectomy to remove single 1.8 cm bladder tumor (T2, clear margins, invading inner half of muscle wall). The partial was necessary to determine whether tumor was muscle invasive, and, in my opinion, also served the valuable function of removing the tumor. Oncologist strongly urging chemotherapy, as expected, and that will start in two weeks. Oncologist clearly would have preferred that I had had neoadjuvant chemotherapy followed by total cystectomy, but that didn't seem like right thing to do given that muscle invasive question was still unclear and no previous indication of small cell carcinoma. I am hoping that after the chemo I can simply be on regular monitoring with my urologist plus whatever ongoing testing (CT, etc.) the oncologist recommends. I am 54 years old, otherwise in very good health, and hope to keep my bladder. Am I crazy for not going ahead with a total cystectomy after the chemo, given some of the studies that indicate this is the optimal approach for small cell carcinoma bladder cancer?