Editing CUA: Muscle-invasive Bladder Cancer (2019) (section)

== Supportive and Palliative Care ==

* '''For patients with localized, non-metastatic MIBC who are unfit for radical intervention (RC or TMT), an aggressive endoscopic approach (“radical TURBT”) can be performed to achieve local control'''
* Palliative care consultation should be requested early on in the care of incurable/unresectable patients
* '''Palliative cystectomy can be performed in select cases, with non-curative intent, for intractable hematuria or pelvic pain secondary to the bladder tumour'''
* '''Palliative radiotherapy may also be offered for intractable hematuria or bony pain secondary to metastatic disease'''
* Palliative chemotherapy (e.g., gemcitabine) may be offered to patients with unresectable or metastatic disease who are ineligible for or have failed platinum-based combination chemotherapy