Urothelial Tumors

The most common urothelial tumor is transitional cell carcinoma of the urinary bladder. Painless hematuria is the most common manifestation. Thirty percent of patients may initially complain of bladder irritability, which is thought to be due to muscular involvement. Surgical treatment includes fulguration, transurethral resection, or more extensive radical cystectomy with urinary diversion. Pain control is an integral part of treatment in metastatic disease of the bladder.