Chemotherapy may be an effective bladder cancer treatment against bladder cancer and may be recommended in combination with surgery and/or radiation therapy, especially for more advanced bladder cancers. There are three different forms of chemotherapy. Neo-adjuvant or primary systemic chemotherapy is used before radiation or surgery to help shrink the tumor. Adjuvant chemotherapy is used after radiation therapy or surgery to destroy any remaining cancer cells. Systemic chemotherapy circulates the chemotherapy throughout the body via the bloodstream when the cancer is metastatic.
Radiation therapy uses high-powered x-rays to shrink tumors and destroy cancerous cells. There are two basic types of radiation therapy: External Beam Radiation Therapy (EBRT) uses highly sophisticated, often robotically controlled systems to irradiate tumors from outside the body. Internal Radiation Therapy (IRT), also known as Brachytherapy, delivers radiation from a source implanted inside the body. Which one is best suited for your particular situation depends on the size, location and stage of the tumor or tumors.