Hello! I was diagnosed with an aggressive MIBC two years ago (at age 54) My doctors (and second opinion) recommended chemo then bladder removal. It was my best chance at beating the cancer. I now have a neobladder but researched all the diversion options. Thankfully I was healthy enough for the neobladder though some are not. I'd suggest that he keep an open mind and take a look at the BCAN website. There is helpful information on the site and survivors he can talk to just to get a feel for the other side of bladder removal. I understand his concerns and it isn't perfect but he may be surprised at how others have adapted to their diversion choice. Biking, hiking, all the things!! I'm very pleased with mine! Good luck to both you and your husband!