Surgery is sometimes an option for those with Stage 4 Bladder Cancer. Radical cystectomy (removal of the bladder, and tissue around the bladder) may be recommended for treatment of patients with stage 4 bladder cancer to control local spread and the complications this creates. For men, the prostate and seminal vesicles are removed. The uterus, fallopian tubes, ovaries, anterior vaginal wall and urethra are removed in women. Surgery is also utilized after an incomplete response of the primary cancer to radiation therapy and/or chemotherapy.
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