Mark,
We were told right from the start, that there is no cure...however, there are various treatments that can give more time, and at one point my husbands Dr even suggested that if the treatments were successful... a remission was possible...my husband is about a year out since diagnosis...
Mark, your father can have many many good days/months left...try not to forget that...
I strongly suggest you get that second opinion...see what other options are available...such as chemo, radiation, etc...it is ultimately your fathers decision...but getting him the information...and second opinions, will probably rest on you and your family...his mind is probably working overtime to digest what he has been told...Once he is presented with all of the possibilities...he will make the choice best for him...
I know how hard this is for you...I hope you all find what will work best for your Dad.
I do think that the RC Surgery is quite drastic...It is possible to get the tumors and blood under control in the bladder with a second "Scrapping"...and follow-up meds...But removal...I am not a Dr. but from what we were told from our Dr here, and via consults with other Drs at 2 Major Cancer Center in NYC, and Boston...they wouldn't do the surgery...they said that it would just add to an already devastating situation...risk during surgery, possible infection, and recovery time...Everyone is different...I just feel strongly about quality of life...surgery and recovery? Not really quality in my book...Yes, this is my opinion...but one I hope you and your family will check into with another Dr.
If you need help in your search let me know...I will help you any way I can,
Karen