Radical cystectomy is the treatment of choice for nonmetastatic, muscle-infiltrating @entity150 . However, bladder-sparing approaches can be discussed in carefully selected @entity1 . Bladder-preservation protocols aim to guaranty local control and survival with a functional bladder and a good quality of life. Such strategies include combinations of transurethral resection and radiochemotherapy, partial cystectomy and brachytherapy, radiotherapy-cystotomy and electrontherapy. Strict selection criteria and close follow-up are mandatory. New irradiation techniques hold the promise to improve local control by selectively boosting the dose to the @entity5 while better sparing the organs at risk. Such advances include the use of multimodal imaging, image-guided radiotherapy, concomitant boost with conformal irradiation+/-intensity modulated radiation therapy. Brachytherapy, either high-dose or pulsed-rate, is a promising technique for selected cases. Highly-conformal irradiation with @entity5 tracking using the Cyberknifetrade mark technology may also provide opportunities to boost the @entity5 while reducing @entity137 . Specific innovative irradiation techniques are discussed.

[State of the art and advances in radiotherapy for XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity150 :: ('MESH:D001749', 'Disease') :: ['bladder cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity137 :: ('MESH:D064420', 'Disease') :: ['toxicities']
@entity150 :: (MESH:D001749,Disease) :: ['bladder cancer']
