My cancer was muscle invasive (and 5 cm) which is why I had to have my bladder removed. I didn't really have a choice. Hopefully yours has been caught earlier and you have some other options.

I work from home and am blessed with a great employer so they were very flexible with my time working during chemo. I just used vacation time when I needed to.

With a neobladder there is really no difference in the things I can do. The immunotherapy will last for one year. It is easier than chemo.