Bladder Cancer

In the initial stages, treatment is curative and consists of removal of the lesion by cystoscopy or transurethral resection. After analysis of the excised material, an assessment will be made as to whether it is necessary to administer endovesical instillations (directly into the bladder) of chemotherapeutic or immunotherapeutic drugs to prevent recurrences.

In infiltrating tumors, the treatment of choice is radical cystectomy (complete removal of the bladder and prostate, in the case of men). Our Clinic's experience in minimally invasive surgery allows both robotic cystectomy and replacement with a new bladder made of bowel.

Complementary chemotherapy is often used preoperatively to reduce tumor size, eliminate unseen distant metastases that may exist and thus facilitate surgery. Other times, chemotherapy is administered after surgery to eliminate residual tumor cells.

Also, in some cases of infiltrating tumors, when they are unique, the bladder can be preserved. Although it is usual to remove the entire bladder, the Clinic has developed an ambitious program that, through a combination of surgery, chemotherapy and radiotherapy, aims to preserve the bladder with an oncological safety margin while maintaining the patient's quality of life.

In the case of metastatic tumors, immunomodulatory drugs have been developed in recent years, research in which the Clinic has played a very active part. The combination of traditional chemotherapy together with immunotherapy in different lines is now standard practice.