Anne Kiltie, MD, MRCP(UK), FRCR, from the University of Oxford, Oxford, UK, discusses bladder preservation in muscle invasive bladder cancer at the European Association of Urology (EAU) conference 2017 in London, UK. She describes bladder sparing approaches using a combination of chemotherapy and radiotherapy before carrying out surgery to remove the bladder, and how these vary between different countries. Prof. Kiltie highlights her interest in the treatment of elderly patients, for whom not all therapy options may be available.

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