Multidisciplinary Approaches in Bladder Cancer: Bladder Preservation and Chemoradiation

In part two of this roundtable discussion on muscle invasive bladder cancer (MIBC), the panel explores multidisciplinary approaches to managing MIBC, with a particular focus on bladder preservation strategies and the integration of neoadjuvant chemotherapy. Dr. Sridhar shares the collaborative model used in Canada, where radiation oncologists and urologists work closely to deliver comprehensive care, while Dr. Garmezy discusses the challenges faced in community practice, including limited access to multidisciplinary clinics. The discussion highlights the importance of shared decision-making with patients, especially when considering bladder preservation and systemic therapies.