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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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Related Experiment Video

Updated: Jul 19, 2026

Minimally Invasive Establishment of Murine Orthotopic Bladder Xenografts
08:15

Minimally Invasive Establishment of Murine Orthotopic Bladder Xenografts

Published on: February 11, 2014

Bladder-sparing approaches to invasive disease.

Jason A Efstathiou1, Anthony L Zietman, Donald S Kaufman

  • 1Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, 100 Blossom Street, Cox 3, Boston, MA 02114, USA. jefstathiou@partners.org

World Journal of Urology
|November 4, 2006
PubMed
Summary

Bladder-sparing trimodality therapy offers a viable alternative to radical cystectomy for invasive bladder cancer, achieving comparable survival rates and preserving native bladder function.

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Published on: July 28, 2012

Area of Science:

  • Urology
  • Oncology

Background:

  • Radical cystectomy is the standard for invasive bladder cancer.
  • Bladder-sparing approaches show promise in selected patients.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of bladder preservation using trimodality therapy.
  • To compare trimodality therapy with radical cystectomy for invasive bladder cancer.

Main Methods:

  • Trimodality therapy includes transurethral resection, radiation, and chemotherapy.
  • Careful cystoscopic surveillance and prompt cystectomy for recurrences are employed.

Main Results:

  • Complete response rates of 60-80% achieved with trimodality therapy.
  • 5-year survival rates of 50-60% and intact bladder survival of 40-45% observed.
  • Long-term survival comparable to contemporary cystectomy series.

Conclusions:

  • Trimodality therapy is a legitimate alternative to radical cystectomy for select patients.
  • Bladder preservation maintains good quality of life.
  • Further optimization of trimodality therapy and toxicity reduction are future goals.