Yes, in virtually every case, some mass was removed and sent to pathology.
Only in 2005 was significant muscle involvement found with a 4cm tumour in the dome of the bladder. The recommendation was bladder removal (as there had previously been some prostate involvement).
I had to push hard to find out about the non surgical options. I was spending my time living in both the UK and the USA. Reviews with the team at Mass General in Boston indicated that the none surgical route might not be a possibility because of the location of the tumour and the history.
Review with Velindre Hspital in the UK seemd to indicate that although the statistics were limited, there was not a significant difference in survival for surgical versus none surgical treatments. Given that information, I chose the radiotherapy/chemotherapy route and so far, I am pleased with that choice.