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The Cochrane Library: Surgery versus radiotherapy for muscle invasive bladder cancer Intervention Review
Muscle invasive bladder cancer is a serious clinical problem and is fatal for the majority of patients. Alternative treatments for this condition are radical cystectomy or radical radiotherapy. A combination of surgery and radiation therapy (radiotherapy) is used to try to treat bladder cancer that has invaded the muscle. One treatment involves some radiotherapy, followed by major surgery to remove the bladder. Another treatment uses intensive radiotherapy, followed by smaller surgery if needed. However, it is not clear which treatment offers people the best chance of survival. The review found that survival was better in people receiving major surgery, compared with major radiotherapy although recent surgical and radiotherapy advances have not yet been studied.
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