Treatment
The treatment is different to the treatment for non muscle invasive bladder cancer, where the cancer cells are only in the bladder’s inner lining.
Find out more about treatment for non muscle invasive bladder cancer
The main treatments for muscle invasive bladder cancer are surgery, chemotherapy or radiotherapy.
Surgery is one of the main treatments. The surgeon usually removes all your bladder and makes a new way for you to pass urine.
For muscle invasive bladder cancer you have the drugs into a vein (intravenously). You might have chemotherapy before surgery or radiotherapy. This is called neoadjuvant chemotherapy. Or you might have it after surgery, this is called adjuvant chemotherapy.
Radiotherapy uses high energy x-rays to kill cancer cells. You might have it as your main treatment for bladder cancer.
Chemoradiotherapy means having chemotherapy and radiotherapy treatment together. You might have this as one of your main treatments.
You might have immunotherapy before or after surgery for muscle invasive bladder cancer. Or you might have immunotherapy or a targeted cancer drug for locally advanced or metastatic bladder cancer.
Last reviewed: 25 Jul 2025
Next review due: 25 Jul 2028