Hi there:)
Glad you are starting on MVAC - it is stronger and seems to be a good plan. I didn't think they would recommend radiation treatments as they can "fry" so to speak - the neobladder.
I asked about how many lymphnodes were removed because I have read studies where the more nodes they take the lower the recurrance rate. It has to do with removing undetectable micromets before they can do damage. Then mopping up with gemzar/cisplatin is recommended. Most larger cancer centers try to remove more nodes because of this.
I did have my 6 month check at Mayo's in Rochester - all is looking good! My lymphnode has not grown - good sign. And they determined my bone tumor is benign - prior to this is it looked like mets. I am well pleased with the results.
It might be helpful for you to check out another website ....
bladder cancer web cafe
they have a very active section on metastic bladder cancer and alot of support from others who are dealing with similar or have dealt with it.
You will be in my prayers - God Bless, Holly