Did waiting increase the chance of mets?

Pat
Has anyone told you how wonderful you are?

Thanks
Pamela

This from Dr. Steinberg a leading blc specialist
"Radical cystectomy

Although typically reserved for muscle-invasive disease, radical surgery is more appropriately used to treat some cases of non–muscle-invasive bladder cancer.
Thirty-five to fifty percent of patients who undergo cystectomy for Ta, T1, or CIS are discovered to have muscle-invasive disease, with 10-15% demonstrating microscopic lymph node metastasis.
The CIS in upwards of 80% of affected patients progresses to muscle-invasive disease, with 20% of patients found to have muscle-invasive disease at the time of cystectomy.
High-grade T1 tumors that recur despite BCG have a 50% likelihood of progressing to muscle-invasive disease. Cystectomy performed prior to progression yields a 90% 5-year survival rate. The 5-year survival rate drops to 50-60% in muscle-invasive disease.
Patients with unresectable large superficial tumors, prostatic urethra involvement, and BCG failure should also undergo radical cystectomy.
Pat

Has the past year and a half or so of being treated with BCG, Mitomycin and BCG with Interferon with poor results increase the possibility that the cancer may have spread?
This has been a concern of mine from day one. Aside from the intial scans for mets husband has not been rescanned.
Being at the end of the road as far as treatment options I am assuming they will rescan again if RC is looking like the answer to end this rollercoaster ride.
Has anyone been this route and found mets before RC?