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Illustration of a bladder.

I have muscle-invasive bladder cancer

Muscle-invasive bladder cancer has spread into the muscle layer of the bladder wall and beyond. This disease requires more intensive treatment. Explore your treatment options and learn what to expect during recovery and follow-up.

Possible treatments

About this type of cancer

About 1 in 4 people with bladder cancer have a type that grows into the bladder muscle or beyond (stages T2–T4). This kind of cancer is more likely to spread to other parts of the body and needs more aggressive treatment. If not treated, it can be deadly.

This chapter contains general information about non-muscle-invasive bladder cancer. It is not a substitute for professional medical advice or treatment. Always consult your doctor or healthcare provider for guidance on your individual medical situation.

Last updated: April 2026

Reviewed by (2026 update): 

  • Dr. Laura Mertens (EAU Guidelines Panel on Muscle-invasive and Metastatic Bladder Cancer)
  • Prof. Dr. Antoine Van Der Heijden (EAU Guidelines Panel on Muscle-invasive and Metastatic Bladder Cancer)