Bladder Preservation

Read this page in: español | русский

Dr. Timur Mitin, medical director at the Tuality/OHSU Cancer Center, talks about bladder preservation as an alternative to bladder removal for patients with bladder cancer.

The Tuality/OHSU Cancer Center is offering an exciting, evidence-based approach to bladder cancer treatment in Oregon. Now patients with muscle-invasive bladder cancer can potentially be cured while preserving their functional bladder.

An Alternative to Bladder Removal Surgery

Bladder preservation therapy has been used over the past 40 years, with more than 1,500 patients treated on multiple clinical trials in the U.S. and Europe. Although the majority of physicians who specialize in bladder cancer treatment often recommend removal of the entire bladder, published data provides questions to this approach.
Learn more about bladder preservation treatment. »

The Facts

How Bladder Preservation Treatment Works

The Tuality/OHSU Cancer Center patients can receive a second opinion regarding muscle-invasive bladder cancer management. They may choose to receive bladder preservation treatment directly at the center, or to have treatment recommendations sent to providers closer to home.

The first step is for the patient’s urologist to remove the cancerous tumor inside the bladder. A four-week regimen of daily radiation therapy and chemotherapy follows. The patient then takes a four-week break from treatment, in which a urologist looks inside the bladder to make sure the treatment is going as planned. The patient then receives another two and a half weeks of daily radiation therapy with chemotherapy. Patients receive follow-up urological evaluations every three to six months initially, then less frequently, to look for recurrent tumors. If no evidence of recurrent tumors exists after three to five years, it is unlikely the cancer will return.

Trained by Pioneers

Dr. Timur Mitin, medical director at the Tuality/OHSU Cancer Center, is a specialist in bladder preservation therapy and advocates for its widespread practice. He received his training in the Harvard Radiation Oncology Program in Boston and was invited to join the faculty at Massachusetts General Hospital – the institution that established and refined the bladder preservation program in North America over the past 40 years. Dr. Mitin has treated patients on national clinical trials of bladder preservation therapy.
Read more about Dr. Mitin’s take on radical cystectomy vs. bladder preservation therapy. (PDF) »

Contact Us to Learn More

For more information on bladder preservation and bladder cancer treatment at the Tuality/OHSU Cancer Center, call 503-681-4200 or visit us for a consultation.