Bladder cancer

Bladder cancer overview

You are at the center of everything we do at Seattle Cancer Care Alliance (SCCA). Here, we surround you with a team of specialists in the Bladder Cancer Multispecialty Clinic. Your team works together closely to provide comprehensive, individualized care and compassionate support, from diagnosis through treatment and beyond.

We guide you every step of the way, combining our deep clinical expertise in bladder or urothelial cancer with a commitment to meet your unique needs.

Why choose SCCA?

  • Where you’re treated first matters most
    Studies have shown that the first treatment you receive for cancer is by far the most important and bladder cancer patients have better outcomes if they receive care at centers of excellence with focused expertise, like SCCA, that treat large numbers of people with this disease. We see hundreds of patients with bladder or urothelial cancer each year.
  • True team care
    The Bladder Cancer Multispecialty Clinic has a team of urologic oncologists, medical oncologists, radiation oncologists, pathologists and radiologists from UW Medicine who come together to evaluate you in a single day based on the individual features of your cancer.
  • Experienced bladder cancer specialists
    SCCA patients receive state-of-the-art care from some of the world’s leading doctors. In fact, in the 1980s now-retired SCCA physician Kenneth J. Russell, MD, pioneered the use of radiation therapy for bladder cancer; it’s now an important treatment for the muscle-invasive form of the disease.
  • Comprehensive bladder cancer treatment 
    Our doctors are experts in the full spectrum of treatments bladder cancer may require. Based on the unique characteristics of your tumor, your team may recommend surgery, chemotherapy, radiation therapy or immunotherapy, all available here. 
  • Bladder cancer clinical trials
    To give you access to the most innovative therapies, SCCA unites the leading researchers and cancer specialists of Fred Hutch and UW Medicine so you can take part in bladder cancer clinical studies not available everywhere. 
  • A national leader in cancer care
    SCCA is the leading cancer treatment center in the region and among the top nationally, according to U.S. News & World Report. 
  • NCI comprehensive cancer center
    We are a comprehensive cancer center, a designation from the National Cancer Institute that reflects our scientific leadership and the depth and breadth of our research to prevent, diagnose and treat cancer.
Bladder Cancer Multispecialty Clinic

Many people with bladder cancer need more than one type of treatment, which means they need more than one type of physician. At Seattle Cancer Care Alliance (SCCA), we bring a team of genitourinary specialists together for you in one place: the Bladder Cancer Multispecialty Clinic (BCMC). It’s our one-stop shop, where we guide you through complex treatment decisions and provide seamless, comprehensive care.

What is the Bladder Cancer Multispecialty Clinic?

The BCMC gives you a “home” where you can see a urologic oncologist, medical oncologist and radiation oncologist all on the same day. Our doctors are UW Medicine physicians who specialize in bladder cancer and other cancers of the urinary tract. They work with you as a team to plan and provide the care you need. 

Our BCMC is the first clinic in the region to provide this type of multidisciplinary care for people with bladder cancer. We treat all types of the disease, from urothelial cancer, the most common type, to rare variations. The clinic is held once a week in the SCCA Prostate Oncology Center in the Surgery Pavilion at UW Medical Center – Montlake. 

As a new patient, you will get a thorough evaluation of your unique case. You will leave your appointment with a complete, personalized treatment plan and a clear set of next steps.

“At the BCMC, everything revolves around you, the patient. We take a comprehensive, systematic and personalized approach that enables you to be well-informed and empowers you to make the best decisions for you.”
— Petros Grivas, MD, PhD, medical oncologist

Along with your physicians, your BCMC team includes:

  • A pathologist and radiologist, who help with diagnosis and treatment planning
  • Nurses and nurse practitioners, who help provide your care
  • Research coordinators, who can explain clinical trials that are testing leading-edge therapies
  • A program coordinator, who ensures your care runs smoothly

At SCCA, we offer a wide range of supportive care services, like nutrition and physical therapy, to help you thrive. We also have genetics specialists who can help you understand cancer risk in your family and help us find features of your cancer that may affect your treatment plan.

“Having the BCMC clinic and the meeting with my team of doctors was invaluable. The fact that it occurred on one day was appreciated by me and my wife since we were able to ask all our questions while still fresh and receive the most educated answers that would help us confidently determine our course of action.”
— SCCA patient

Who is the BCMC for?

If you have cancer that has invaded the muscle layer of your bladder but hasn’t spread to distant parts of your body, BCMC is designed for you. We also see new SCCA patients with non-muscle-invasive bladder cancer who started treatment somewhere else.

Why? These people are most likely to benefit from having two or more types of treatment: surgery, medicine-based options (like chemotherapy and immunotherapy) and/or radiation therapy.

How does team-based care help?

Research shows that our collaborative approach improves cancer care.1 Having a team of experts in one room at the same time is linked to:

  • More accurate diagnosis
  • Shorter time from your diagnosis to when you start treatment 
  • A treatment plan that closely matches evidence-based national guidelines about the best ways to treat this disease
  • Better communication between members of your care team
  • More satisfied patients

At the BCMC, we often reinterpret the test results and imaging that patients have had elsewhere. Then we refine their diagnosis and disease stage in important ways that influence their treatment choices.

What are the other options?

Not everyone with bladder cancer needs the BCMC.

If you have early-stage bladder cancer (only on the inside surface of your bladder, also called superficial or non-muscle-invasive) and you haven’t had treatment yet, our urologic oncologists have the expertise to plan and provide your care.

If you have metastatic bladder cancer, which has spread to distant parts of your body, our medical oncologists are the right match for your treatment needs. You’ll likely start by seeing one of them first. 

In both of these cases, your physicians work closely with the same UW Medicine pathologists and radiologists who specialize in genitourinary cancers. They will also bring in any other experts you need — not only physicians and nurses, but also supportive care specialists who can help you with your physical and emotional needs.

Your first appointment

Your first appointment at the BCMC will usually take about four hours. You will spend about three hours with your physicians. We invite you to bring a friend or family member with you to help keep track of your questions and the information that your team gives you.

“We’re not treating a disease — we’re treating a person, and we figure out which treatments fit best for each individual. ”
— Jonathan L. Wright, MD, MS, FACS, urologist

Here's what you can expect to happen.

Hour 1 – exam 

You will meet with a resident doctor or fellow who will talk with you about your health history and do a physical exam.

Hour 2 – team meeting

Your team of physicians will meet to talk with each other about your cancer and the most effective ways to treat it. During this time, you will be free to visit the Patient Resource Center and other UW Medical Center amenities.

  • Your resident or fellow will present the details they learned from talking with you and examining you. 
  • Your pathologist and radiologist will review and explain the results of any biopsies, other tests and imaging scans you’ve had. 
  • Your urologic oncologist, medical oncologist and radiation oncologist will apply their experience and knowledge about the best treatment approach for people in your situation. 

Together, the team will design a treatment plan specifically for you.

Hours 3 and 4 – recommendations 

You will meet one-on-one with each physician from your team. You will stay in the same room and the physicians will come to you. We will explain the treatment we recommend for you and why. We’re here to answer your questions and talk through your options so you can make decisions you feel good about. 

What happens next?

Before you leave, you will meet the BCMC program coordinator. We will schedule any appointments you need next. Your schedule will depend on your specific situation, but we’re here to handle the details and make the process as worry-free as possible for you.

Once treatment begins, our patients receive care at SCCA South Lake Union, UW Medical Center or both.

Everyone on our team is used to partnering one-on-one with patients and their families to put in place the plans that are right for them. We want to help you understand as much as you wish to about your disease, your treatment and how care happens here — so you can focus on living your life.

1. Leonidas N. Diamantopoulos et al, “Bladder Cancer Multispecialty Clinic (BCMC) Model Influences Disease Assessment and Impacts Treatment Recommendations,” Bladder Cancer 5 (2019): 289-298.

Bladder Cancer Multispecialty Clinic

Many people with bladder cancer need more than one type of treatment, which means they need more than one type of physician. At SCCA, we bring a team of genitourinary specialists together for you in one place: the Bladder Cancer Multispecialty Clinic (BCMC). It’s our one-stop shop, where we guide you through complex treatment decisions and provide seamless, comprehensive care.

Bladder cancer second opinions

If you’ve been diagnosed with bladder cancer or urothelial cancer, we recommend getting a second opinion before choosing where you’ll be treated. 

Seattle Cancer Care Alliance (SCCA) has the region’s only Bladder Cancer Multispecialty Clinic, where urologic oncologists, medical oncologists, radiation oncologists and pathologists come together to discuss and care for people with bladder or urothelial cancer as a team. During a single visit you get the second opinion of not one doctor but an entire group of specialists.

Talk with bladder and urothelial cancer experts who understand your disease in greater depth than the general oncologists in your local community. We will share information back with your local oncologist according to your wishes.

Call us at (855) 557-0555 to request an appointment for a second opinion.

How a second opinion can help

Getting a second opinion from doctors who specialize in urinary tract cancers can help you:

Feel confident that your cancer has been accurately diagnosed and staged

Verifying facts, like the type and stage of your cancer, are important to your decisions about treatment. Pathologists, radiologists and urologists from SCCA are experts in diagnosing urinary tract cancers and have access to the latest technologies to help ensure we know as much about your cancer as possible.

Understand the benefits of specialized, multidisciplinary care

Bladder cancer can be aggressive. If your cancer has invaded the muscle wall of your bladder, you need well-coordinated, comprehensive treatment and should choose a center that has experience in treating bladder cancer with surgery, chemotherapy and especially radiation therapy. 

Even noninvasive cancers require surgery, and they may require further treatment to destroy all signs of cancer now and decrease the risk that cancer will come back.

Consider state-of-the-art treatment options

There are advanced options for urinary tract cancers that not all doctors may know about. These include robot-assisted surgery to speed your recovery and advanced urinary reconstructions that help preserve your quality of life if you need your bladder removed. You may be able to receive bladder-sparing treatment using chemotherapy and radiation therapy. Getting a second opinion may also give you rapid access to new treatments or clinical studies that aren’t available everywhere. 

Start with a course of therapy tailored to you

Changing treatment regimens is not always easy or possible. Once you start a course of treatment, it’s sometimes hard to change to something else. So it’s important to get as much information as you can upfront about the best options. We focus on you, not just your cancer, when developing a treatment plan. We consider your goals, plans, beliefs, values and preferences to design your treatment comprehensively.

Request a second opinion

To request a second opinion with an SCCA doctor, call (855) 557-0555.

And if you received your diagnosis through SCCA, don’t be afraid to ask your doctor about getting a second opinion. They’ll be more than happy to provide you with a list of recommended doctors.

Bladder cancer second opinions

If you’ve been diagnosed with bladder cancer or urothelial cancer, we recommend getting a second opinion before choosing where you’ll be treated. 


SCCA offers comprehensive care for bladder cancer, including advanced treatments and new options available only through clinical studies, at the Bladder Cancer Multispecialty Clinic. 


At SCCA, you receive care from a team of providers with extensive experience in your disease. Your team includes doctors, a team coordinator, a registered nurse, an advanced practice provider and others, based on your needs. You also have access to experts like nutritionists, social workers, acupuncturists, psychiatrists and more who specialize in supporting people with cancer or blood disorders.

Clinical trials

To give you access to the most innovative therapies, SCCA unites the leading researchers and cancer specialists of Fred Hutch and UW Medicine so you can take part in bladder cancer clinical studies not available everywhere. 


There are many resources online for learning about your disease, as well as organizations that provide community and support for your cancer diagnosis. Health educators at the SCCA Patient and Family Resource Center have compiled a list of trusted sources to help you get started.