Pattern of urinary symptoms in patients with metastatic bladder cancer

In an attempt to assess the development or progression of symptoms in patients with metastatic bladder cancer we reviewed 41 patients who died of the disease but who did not undergo cystectomy. Therapy for the local tumor was used when indicated. Of the 41 patients 9 experienced worsening of symptoms, while the others were either stable or improved. Only 1 of 10 asymptomatic patients suffered symptoms during the course of the illness.