I have muscle invasive differential cell carcinoma that has not spread outside of my bladder.  I am at the end of four cycles of MVAC chemo, and my urologist has recommended a radical cystectomy.  The chemo has worked as planned in containing the tumor and shrinking it somewhat, and I have not had bad reactions from taking it.  I have full bladder volume and I am not urinating blood.  Are there any alternatives to surgery?  I am open to traditional and alternative treatments.  I just want to know if there is an approach that would leave my bladder and prostate intact.  Thanks.