
This discussion explores how the treatment landscape for muscle-invasive bladder cancer (MIBC) is evolving with the integration of perioperative systemic therapies around radical cystectomy. The panel discusses emerging clinical trial data supporting immunotherapy- and antibody-drug conjugate-based approaches, including perioperative durvalumab plus gemcitabine-cisplatin and enfortumab vedotin plus pembrolizumab, and how these regimens are influencing treatment selection in cisplatin-eligible and cisplatin-ineligible patients. Throughout the discussion, the expert faculty examine the impact of these therapies on surgical planning, operative experience, postoperative recovery, biomarker integration, and multidisciplinary coordination of care. The panel also highlights ongoing unmet needs, future clinical trial directions, and practical considerations for safely incorporating perioperative strategies into the modern management of MIBC.


























