
Although radical cystectomy remains the standard treatment for muscle-invasive bladder cancer (MIBC) and high-risk non-muscle-invasive bladder cancer (NMIBC) that is unresponsive to Bacillus Calmette-Guérin (BCG) therapy, many patients are either unsuitable for or unwilling to undergo radical cystectomy because of underlying comorbidities and the potential impact on quality of life. Consequently, there is an urgent need to explore novel treatment approaches. At the 2026 American Society of Clinical Oncology (ASCO) Annual Meeting, a study conducted by the team of Professor Wang He and Professor Wenlong Zhong from Sun Yat-sen Memorial Hospital, Sun Yat-sen University, was selected for presentation. The study evaluated a bladder-preservation strategy combining disitamab vedotin-based systemic targeted immunotherapy with transurethral resection of bladder tumor (TURBT) and pelvic lymph node dissection (PLND), offering a new possibility for bladder preservation in patients with MIBC. Oncology Frontier – UroStream invited both experts to discuss the clinical value, efficacy, and future prospects of this innovative approach.