i was given the choice of not having it removed, but said i probably wouldn,t make it a year, though after i had it removed they told me the same thing, having the bag i thought would be horrible, isn,t that bad actually, has some advantages in a way, I asked the same question to my Doc when i was declared cancer free in June, did i really have to have my bladder removed since the chemo did work? said it would reoccur, it is a major decision for sure, i researched the plusses and negatives of an Ostamy pouch or a neo bladder then, with the neobladder, much more complicated surgery, longer recovery time and problems with incontincy afterwards, i am 54, wasn,t like giving up and planned to live to be older, and i thought in my older years will be alot of problems with this, i am active, well when i aint on the fricking chemo, go 4 wheeling. and a neobladder sure wouldn,t work doing that, bouncing all around, be peeing my pants all the time