After ten years of BCG treatments and four high grade superficial cancers and numerous low grade tumors removed, my most recent CIS came up very quickly, within three months of previous cystotomy. I am 78 years old. I have decided to go for a radical cystectomy, but have second thoughts every day. The surgeon has an excellent reputation. I just get worried about the change of life style, to say nothing of possible complications. I would love to hear from anyone with a word of advice or assurance or a thought. I have confidence in my medical group, but darned scared anyway.