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.
Radiotherapy uses high energy x-rays to kill cancer cells. You might have it as your main treatment for bladder cancer.
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.
Chemoradiotherapy means having chemotherapy and radiotherapy treatment together. You might have this as one of your main treatments.
There are different immunotherapy drugs for muscle invasive bladder cancer. These include nivolumab, avelumab and atezolizumab.
Last reviewed: 25 Jul 2025
Next review due: 25 Jul 2028

About Cancer generously supported by Dangoor Education since 2010. Learn more about Dangoor Education
Search our clinical trials database for all cancer trials and studies recruiting in the UK.
Connect with other people affected by cancer and share your experiences.
Questions about cancer? Call freephone 0808 800 40 40 from 9 to 5 - Monday to Friday. Alternatively, you can email us.