Re-establishing the Role of Robot-assisted Radical Cystectomy After the 2020 EAU Muscle-invasive and Metastatic Bladder Cancer Guideline Panel Recommendations

Eur Urol. 2020 Oct;78(4):489-491. doi: 10.1016/j.eururo.2020.06.035. Epub 2020 Jul 28.


The EAU guidelines panel on muscle-invasive and metastatic bladder cancer (MIBC) recently recommended open radical cystectomy (ORC) as the best surgical approach for MIBC patients. We critically re-examine the indications for considering ORC as the first choice over robot-assisted radical cystectomy. To the best of our knowledge, this is not supported by trials or meta-analyses.

Publication types

  • Editorial
  • Comment

MeSH terms

  • Cystectomy / adverse effects
  • Humans
  • Muscles
  • Robotic Surgical Procedures* / adverse effects
  • Robotics*
  • Urinary Bladder Neoplasms* / surgery
  • Urology*