I have been diagnosed with stage 4 TCC in the Kidney which has spread to the local lymph node but no where else in the body. My urologist has said that he cant opperate on it and can only offer chemotherapy to prolong life. 

Reading on here however, no matter the stage in diagnosis (some worst than mine) they have operated to take out the kidney uterer and lymph node before starting any chemotherapy.

Struggling to come to terms with them saying they cant opperate. Should i get a second opinion and if so how do you do that?

Thanks