I believe it is the cleanliness and quality of life. When he was diagnosed with cancer 19 years ago, the doctor gave him 1 option, a stoma. He met with over 20 doctors before he found one that would give him a neo bladder. Now the neo bladder is worn out and he does not have intestine to make another. He has surgery at the end of this month so they can do a biopsy on the tumors in the neo bladder.