Hi, dear I have gone through your question. I can understand your concern. Your brother has cancer in bladder cancer. Treatment depends on stage of bladder cancer. if it limited to the bladder wall then it could be in early stage. Cystectomy should be done as early as possible. Consult your doctor and start treatment. Don t wait so long now. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you. Thanks for using health care magic. Wish you a very good health.