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Surveillance Protocols: Balancing Patient Burden and Cancer Control
Heather Steckenrider1, Jessica Delgado1, Chad Ritch2
1Department of Urology, Desai Sethi Urology Institute, University of Miami, 1120 NW 14th Street, CRC 1560, Miami, FL 33136, USA.
The Urologic Clinics of North America
|June 26, 2026
Summary
Bladder cancer surveillance needs improvement. Research is exploring less invasive, non-cystoscopy tests to optimize patient care and reduce costs for bladder cancer monitoring.
Area of Science:
- Urology
- Oncology
Background:
- Bladder cancer is a common malignancy, particularly in males.
- Non-muscle-invasive bladder cancer constitutes a significant majority of new cases.
- Current surveillance methods are often inefficient and costly, with potential for overtreatment or undertreatment.
Purpose of the Study:
- To review the limitations of traditional bladder cancer surveillance protocols.
- To explore the potential of emerging non-cystoscopy technologies for bladder cancer monitoring.
- To discuss the future deintensification of surveillance for bladder cancer patients.
Main Methods:
- Literature review of current bladder cancer surveillance practices.
- Analysis of studies on the cost-effectiveness and patient burden of traditional methods.
- Exploration of ongoing research into noninvasive diagnostic and monitoring tools.
Main Results:
- Traditional surveillance protocols are associated with significant costs and patient inconvenience.
- A substantial proportion of patients receive either excessive or insufficient surveillance.
- Emerging noninvasive tests show promise for future bladder cancer surveillance.
Conclusions:
- Deintensification of bladder cancer surveillance is warranted.
- Non-cystoscopy alternatives are crucial for improving patient outcomes and resource allocation.
- Continued research into noninvasive methods is essential for advancing bladder cancer care.
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