@michzn that is very strange. Have you tried calling Cleveland Clinic or Ohio State University James Cancer Center? Both always advertise contacting them if you need a second opinion.

The other suggestion is Indiana University Medical Center in Indianapolis, oncology department. My daughter is being treated there for her colon cancer and liver METs. I am impressed with their oncology dept. as well.

Did you say you live close to any of these medical centers.
Why aren’t you able to have a cystoscope.