Partial Cystectomy in Patients with Huge Bladder Mass Who are Unfit for Curative Surgery: Case Presentation and Literature Review

Abstract

Bladder cancer (BC) is a common genitourinary malignancy among the advanced age population. BC with non-metastatic muscle-invasive diseases requires neoadjuvant chemotherapy followed by radical cystectomy or bladder-sparing approach with systemic chemotherapy plus definitive radiation therapy. Patients with advanced age are the fastest-growing segment of the population worldwide. Age itself is not a disease; however, elderly patients with reduced functional organ reserve are more sensitive to any medical stress factor. Therefore, patients may lose their chance of getting chemotherapy, radiotherapy, and surgical treatment. This case series aimed to examine the approach to patients who lost the chance of transurethral bladder mass resection in a single session.