Global survey: most high-risk NMIBC patients offered cystectomy refuse surgery

Retrospective · BJU Int · 2026-10-03. Number 5 in the UrologyWatch Top 5 for October 4, 2026.

In a multinational survey of 359 physicians on 2,583 patients with high-risk NMIBC, radical cystectomy was offered to 20% of BCG-treated patients but 68% refused, mainly citing quality of life, stoma aversion, and surgical safety concerns.

Why it matters: Highlights a real-world gap between guideline-recommended cystectomy and patient acceptance, reinforcing demand for effective bladder-sparing options.

Source: BJU Int · PubMed 42826930 · DOI 10.1111/bju.70480

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