{"id":90425,"date":"2026-08-13T16:55:17","date_gmt":"2026-08-13T16:55:17","guid":{"rendered":"https:\/\/www.msdconnect.be\/fr\/?post_type=therapeutic-area&#038;p=90425"},"modified":"2026-09-05T20:28:11","modified_gmt":"2026-09-05T20:28:11","slug":"options-de-traitement","status":"publish","type":"therapeutic-area","link":"https:\/\/www.msdconnect.be\/fr\/therapeutic-areas\/immunotherapie-dans-le-traitement-des-cancers-urologiques\/le-cancer-de-la-vessie\/options-de-traitement\/","title":{"rendered":"Options de traitement"},"content":{"rendered":"\n<section class=\"mhh-mcn-v1-section mhh-mcn-v1-section--bbd216de67f57a56d27f9cc3dd342a42 mhh-mcn-section mhh-mcn-v1-section--align-full\">\n    <div class=\"mhh-mcn-container\">\n    \n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--4557db20c2004cf1ed8c02bd305e41ce mhh-mcn-v1-columns mhh-mcn-columns--gutter-custom\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--ebbd4e359dfe3de797f7bc61ff7c0037 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<h2 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-dd8f7c942f84092de9abb3e6ab1888be  mhh-mcn-v1-heading mhh-mcn-v1-heading--58b9310d331173746b05f428a0249a36\" style=\"color:#812990\"><strong>Le cancer de la vessie&nbsp;\u2014<\/strong><\/h2>\n\n\n\n<h2 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-541a8d63b300d90f408919f8b9a94303  mhh-mcn-v1-heading mhh-mcn-v1-heading--888d6acc858c344bd6e2ceb3ffb851e4\" style=\"color:#812990\">Quelles sont les options de traitement&nbsp;?<\/h2>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--ce4be593c6f2a8af2fb18494f47bead5 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--ce97987ce9e5634e27030bc9a815b18c mhh-mcn-v1-image--align-items-center\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90447\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/blaas-titel.png?quality=80&#038;lossy=1\"\n        width=\"1474\"\n        height=\"1267\"\n                alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n<\/section>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<section class=\"mhh-mcn-v1-section mhh-mcn-v1-section--bf1545bc5daffb953c314f798bfcc875 mhh-mcn-section mhh-mcn-v1-section--align-full\">\n    <div class=\"mhh-mcn-container\">\n    \n\n<h3 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6cbad185ba564e256a8a38cabdf2b0e6  mhh-mcn-v1-heading mhh-mcn-v1-heading--f4c9722f8bb4a9a2adc55591d373b933\" style=\"color:#603c37\"><strong><strong>Comment le cancer de la vessie peut-il \u00eatre trait\u00e9\u00a0?<\/strong><\/strong><\/h3>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9ac148e1b331ee3eba005404c010d173  mhh-mcn-v1-heading mhh-mcn-v1-heading--e51a058462bf6bfaef7aedea3a708caf\" style=\"color:#603c37\"><strong>Que se passe-t-il pendant le traitement\u00a0?<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3b7901bccd8aa0ecafbeb48a80709537   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c33d3ae606d58ea84c0b731d1f0fba4a\" style=\"color:#603c37\">L\u2019objectif d\u2019un traitement anticanc\u00e9reux est\u00a0:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--fb12bb94e3623f7923eceb99b7f62c69 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    d\u2019enlever les cellules canc\u00e9reuses (cystectomie) (TURB),    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    de les d\u00e9truire (lavage v\u00e9sical, traitement syst\u00e9mique, radioth\u00e9rapie),    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    ou de stopper leur croissance (lavage v\u00e9sical, traitement syst\u00e9mique, radioth\u00e9rapie).    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-79647da46852a8c76e2d801ebe1a8f6d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--353c6de8232532cb692555f374213027\" style=\"color:#603c37\">Ci-dessous,\u00a0vous trouverez un aper\u00e7u g\u00e9n\u00e9ral des diff\u00e9rents traitements du cancer de la vessie.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a1e03e5c90e1a7c427d1877ec4a52de7   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d0ff172716c056989cb148d4895dd16a\" style=\"color:#603c37\">Une \u00e9quipe pluridisciplinaire compos\u00e9e de m\u00e9decins aux sp\u00e9cialisations vari\u00e9es (urologue, radiologue, oncologue, radioth\u00e9rapeute, anatomopathologiste, etc.) abordera avec vous la meilleure strat\u00e9gie th\u00e9rapeutique, adapt\u00e9e \u00e0 votre situation personnelle. Cette concertation se d\u00e9roule dans le cadre d\u2019une consultation oncologique multidisciplinaire (COM).<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--6dbf42b82ec9e8ff6a65eb7f628ea46e mhh-mcn-v1-columns mhh-mcn-columns--gutter-l\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0e7bd4361f9bd17c0bd593d29a32114a mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-55d1dea83e2c97eb7551e33e777807e8   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--dab423fa5c9869db85d4da30b063d651\" style=\"color:#812990\"><strong>Dans certains cas, votre m\u00e9decin peut d\u00e9cider de ne pas traiter activement le cancer. C\u2019est le cas, par exemple, si la tumeur est petite, si son \u00e9volution est lente ou si votre \u00e9tat de sant\u00e9 ne vous permet pas de suivre un traitement actif.<\/strong><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"apercu\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-066488cc53a0dedb4647d304fa0529f4  mhh-mcn-v1-heading mhh-mcn-v1-heading--1b917b2866b081c12a9e500d0c5dddc5\" style=\"color:#603c37\"><strong>Aper\u00e7u des options de traitement<\/strong><\/h3>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9392f93a4dc68f117dbfef2305927a41   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--17f02865fdfb0ecb3139e2ea633c2960\" style=\"color:#603c37\">Cliquez sur une ic\u00f4ne pour en savoir plus sur l\u2019option de traitement concern\u00e9e.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--22e3fd57b9ed4f8f7663ee09371d4cfc mhh-mcn-v1-columns mhh-mcn-columns--gutter-custom\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0198f825b44554fe212ce1ac76ad7b8c mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--872de7704442815f8494b70578670be1 mhh-mcn-v1-image--align-items-end\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#turb\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90677\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_01.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f0adedbf88f16891f655eb09f85ccd91 mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--d468fdf6300dc1da04e30c11f2c83111 mhh-mcn-v1-image--align-items-center\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#cystectomie\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90678\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_02.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0a9da9f4d362b0a8c00fe7eeeb9a269f mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--53180b78da22b5c7a2bb6af6a3bf771f mhh-mcn-v1-image--align-items-start\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#systemische-behandeling\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90679\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_03.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--4c8eb4d8e8883f2e8bd837dcfd8b974f mhh-mcn-v1-columns mhh-mcn-columns--gutter-custom\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--6e1623bf1e27457c9b3f82d0001fcc8c mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--f809d361045a8edc48ee8d39ecaca673 mhh-mcn-v1-image--align-items-end\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#blaasspoelingen\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90680\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_04.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--165a25f76aa137e68b61f68cd7b50ec6 mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--4001a7d39bcdda4b03d416aadb7b1d8d mhh-mcn-v1-image--align-items-center\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90681\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_05.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f327d2a032139434f24f72dd6656bd1a mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--133b48e8c7137cdcc063b79e0f55a23d\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#combinatie\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90673\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_06.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--9644e5331a76285e03a8bbb9f1607a16 mhh-mcn-v1-columns mhh-mcn-columns--gutter-custom\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--24622269e84dbf34593bd6221a2d9475 mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--69aeaf71c00cd449fcfcf172bd060fdc mhh-mcn-v1-image--align-items-end\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#bestraling\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90674\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_07.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--f6e6a0a19c9a8e37fc5a2c369c52e287 mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--2e2066e9973741b2b21bcf758970ecf2 mhh-mcn-v1-image--align-items-center\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#nauwe-opvolging\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90675\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_08.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--507d2fc08ceae2b182fc0966725c0055 mhh-mcn-column mhh-mcn-column--4 mhh-mcn-column--m-4 mhh-mcn-column--l-4\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--c35bdc710d6beb6bc67174e04a33dba8\">\n                <a\n        class=\"mhh-mcn-anchor-for-image\"\n        href=\"#klinische-studies\"\n        rel=\"\"\n        target=\"\"\n    >\n            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90676\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/09\/bladder-treatment-overview-fr_09.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-85a821f17b806e0629d2ddd862dbe1c2  mhh-mcn-v1-heading mhh-mcn-v1-heading--97d49966aa6d03ad814bbb6f642aad01\" style=\"color:#603c37\"><strong>Quels sont les diff\u00e9rents traitements possibles contre le cancer de la vessie\u00a0?<\/strong><\/h3>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-519f7a020798554ea205a433333058d3  mhh-mcn-v1-heading mhh-mcn-v1-heading--8c5ad0a7e30d471e90a479c38fd4db9c\" style=\"color:#603c37\"><strong>Quels sont les diff\u00e9rents types de traitements possibles\u00a0?<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-eb6ef6caecbcdb56171e34f2879fcd55   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--667e35f194c45db9a36fea67116271ff\" style=\"color:#603c37\">Il existe plusieurs options th\u00e9rapeutiques pour traiter le cancer de la vessie, qui peuvent \u00eatre utilis\u00e9es seules ou en combinaison. En voici un aper\u00e7u plus d\u00e9taill\u00e9.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--ec486f26632640a840a5b8ab91797128 mhh-mcn-v1-columns mhh-mcn-columns--gutter-l\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0b91d642f40de87408f304d762ff2539 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9584a9b60fc7d339e1a45aca0572005d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--bb5065a41451ebada8656ae7922abb0d\" style=\"color:#812990\"><strong><strong><strong><strong>Veuillez noter que tous ces traitements ne conviennent pas \u00e0 tout le monde. Votre \u00e9quipe de traitement discutera avec vous des options appropri\u00e9es \u00e0 votre situation sp\u00e9ci\ufb01que et \u00e9tablira le plan de traitement le plus adapt\u00e9.<\/strong><\/strong><\/strong><\/strong><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" id=\"nauwe-opvolging\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-035a48efd2c99745ca12027d8ea043db  mhh-mcn-v1-heading mhh-mcn-v1-heading--ce9c2601b1f57f72d74db326a4cba8c4\" style=\"color:#812990\"><strong>1. Suivi r\u00e9gulier<sup>10<\/sup><\/strong><\/h4>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-1b57aa33dca985cb7dde8ab50ae69ab7  mhh-mcn-v1-heading mhh-mcn-v1-heading--45a542b15bf4fdcd13f36d024993939d\" style=\"color:#603c37\"><strong>Consultations et examens m\u00e9dicaux tr\u00e8s fr\u00e9quents<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-ffa8d7437eb0e2f34cbf11ae925f1e64   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--94054f44ea82af1a2769b0cbbf0d9646\" style=\"color:#603c37\">Dans le cadre d\u2019un suivi r\u00e9gulier, aucun traitement actif n\u2019est administr\u00e9. Votre m\u00e9decin planifiera la fr\u00e9quence des rendez-vous et des examens afin de surveiller de pr\u00e8s l\u2019\u00e9volution de la tumeur. Cela implique souvent un examen r\u00e9gulier de la vessie pratiqu\u00e9 \u00e0 l\u2019aide d\u2019une cam\u00e9ra et n\u00e9cessitant une anesth\u00e9sie locale, cet examen est appel\u00e9 cystoscopie. Le suivi peut \u00e9galement inclure de l\u2019imagerie m\u00e9dicale (scanner ou IRM) ainsi qu\u2019une analyse d\u2019urine (cytologie urinaire).<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"bestraling\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-250d2685adde34cc840b7d265ce93cbc  mhh-mcn-v1-heading mhh-mcn-v1-heading--5235b1b601731572349ed86b4b256e72\" style=\"color:#812990\"><strong>2. Traitements locaux<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2dcb990cf722d2ed75e7fbe24d057332   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c6509b339171bcd4a05db7d4437cd878\" style=\"color:#603c37\">Ceux-ci ciblent directement la zone o\u00f9 se situe la tumeur et les tissus environnants.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3514a7531b6c5353e691d207a0825d2a  mhh-mcn-v1-heading mhh-mcn-v1-heading--73170498d34b83d03bba23797be0cda6\" style=\"color:#0065a0\"><strong>Radioth\u00e9rapie<sup>11<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-bdae6bb84a376ef41d754f284ce382ed   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--cd3257641d3f4dc7c9f4306e2d417fdd\" style=\"color:#603c37\">La radioth\u00e9rapie ou irradiation en monoth\u00e9rapie n\u2019est prescrite que si votre corps ne peut supporter une intervention chirurgicale ou une th\u00e9rapie syst\u00e9mique. L\u2019objectif de la radioth\u00e9rapie est de contr\u00f4ler la maladie. La radioth\u00e9rapie peut \u00eatre associ\u00e9e \u00e0 une chimioth\u00e9rapie, on parlera alors d\u2019une chimioradioth\u00e9rapie. Cette association permet un meilleur contr\u00f4le du cancer, mais entra\u00eene \u00e9galement davantage d\u2019effets secondaires. Afin d\u2019obtenir des r\u00e9sultats optimaux, une TURB est r\u00e9alis\u00e9e avant la chimioradioth\u00e9rapie afin de r\u00e9duire autant que possible la taille de la tumeur. La chimioradioth\u00e9rapie pr\u00e9c\u00e9d\u00e9e d\u2019une TURB est \u00e9galement appel\u00e9e triple th\u00e9rapie.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" id=\"turb\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-183127f769a6b1a2900c5c47b5f2ec8a  mhh-mcn-v1-heading mhh-mcn-v1-heading--ec5eb5a1b577811bff4b0906f8aebd8f\" style=\"color:#0065a0\"><strong>Chirurgie<\/strong><\/h4>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-db3eaf7937f0f400be2595f95b50c67b  mhh-mcn-v1-heading mhh-mcn-v1-heading--898d3590df853d891c47895fcb480e23\" style=\"color:#0065a0\"><strong>1. TURB (Trans Urethral Resection of Bladder Tumor ou R\u00e9section transur\u00e9trale d\u2019une tumeur de la vessie)<sup>9,10,12<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-72069a1d75c2727d181d9c2747bbdc5a   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--83121c11c6b3805de927566757ee7c20\" style=\"color:#603c37\">La r\u00e9section transur\u00e9trale d\u2019une tumeur de la vessie (TURB) consiste \u00e0 retirer partiellement ou totalement la tumeur via l\u2019ur\u00e8tre. Cette intervention est souvent la premi\u00e8re \u00e9tape du diagnostic et du traitement\u00a0: elle permet de pr\u00e9lever un \u00e9chantillon de tissu pour un examen microscopique.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5caa3061898acfe3a978f0c7c9e46395   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3d5a457aa4197e90b6ff93d78fbbd1ee\" style=\"color:#603c37\">Il s\u2019agit d\u2019une proc\u00e9dure peu invasive, r\u00e9alis\u00e9e en hospitalisation de jour ou de courte dur\u00e9e, g\u00e9n\u00e9ralement sous anesth\u00e9sie g\u00e9n\u00e9rale. L\u2019intervention se fait via un tube creux (r\u00e9sectoscope) introduit dans la vessie par l\u2019ur\u00e8tre. Une cam\u00e9ra permet de visualiser l\u2019int\u00e9rieur de la vessie et de retirer la tumeur.<\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--be4fafe29985235df073edf27672202b\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90684\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/turb-1-fr.png?quality=80&#038;lossy=1\"\n        width=\"2000\"\n        height=\"1229\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-dd9c30d626051e662eae154646698fd9   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--87792b7c7d0b7f9300ca6383e0f4d209\" style=\"color:#603c37\">La tumeur est retir\u00e9e \u00e0 l\u2019aide d\u2019un r\u00e9sectoscope muni d\u2019une anse m\u00e9tallique parcourue par un courant \u00e9lectrique qui sectionne les tissus, ou \u00e0 l\u2019aide d\u2019un rayon laser qui d\u00e9tache la tumeur. Les tissus retir\u00e9s de la vessie sont envoy\u00e9s au laboratoire pour analyse.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--f81d02b594aa63a016f772fe63ff2c48\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90686\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/turb-2-fr.png?quality=80&#038;lossy=1\"\n        width=\"1939\"\n        height=\"2361\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-222e62e3e1003453ae39c9671b96272d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--eb09a82a2cfe1023d5f8626063544ae4\" style=\"color:#603c37\">Si n\u00e9cessaire, une instillation v\u00e9sicale de chimioth\u00e9rapie peut \u00eatre effectu\u00e9e imm\u00e9diatement apr\u00e8s l\u2019op\u00e9ration pour r\u00e9duire les risques de r\u00e9cidive. Cette solution de chimioth\u00e9rapie<br>n\u2019agit que localement, ce qui limite les effets secondaires.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6c9b55a0d90dcf430d982966872a2ec4   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--43ac3e6c58962b9b71997101b7eecb84\" style=\"color:#603c37\">Apr\u00e8s une TURB, la pr\u00e9sence de sang dans les urines ou de troubles urinaires suppl\u00e9mentaires peuvent \u00e9galement appara\u00eetre, mais en g\u00e9n\u00e9ral, ceux-ci disparaissent naturellement d\u2019eux-m\u00eames.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" id=\"cystectomie\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-eb7a86254b83865c9afacdf3e0192505  mhh-mcn-v1-heading mhh-mcn-v1-heading--fca1e17d149a13f4140daa9661000102\" style=\"color:#0065a0\"><strong>2. Cystectomie<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-1b6f0dad89e3818d615f326dcd7b8f80   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b46742ec9a0c384679b7d533b2bbc25b\" style=\"color:#603c37\">Si, apr\u00e8s la TURB, votre m\u00e9decin constate que la tumeur est \u00e0 un stade plus avanc\u00e9 (la tumeur se trouve d\u00e9j\u00e0 dans le muscle v\u00e9sical), une intervention chirurgicale suppl\u00e9mentaire destin\u00e9e \u00e0 retirer compl\u00e8tement la vessie peut \u00eatre envisag\u00e9e. On parle alors de cystectomie radicale (compl\u00e8te).<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-697afe9aa35c788b090f48df881430a2   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--15e04871297f85b31bf2dff09b908409\" style=\"color:#603c37\">Apr\u00e8s une cystectomie totale, il n\u2019y a plus de r\u00e9servoir pour stocker l\u2019urine produite par le corps, le chirurgien devra donc cr\u00e9er une voie alternative pour que l\u2019urine puisse \u00eatre \u00e9vacu\u00e9e. Les alternatives possibles consistent en\u00a0:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--280dfc55024e129d8ad20bfb1bb35210 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    une stomie urinaire, c\u2019est-\u00e0-dire une d\u00e9rivation (ou d\u00e9viation) chirurgicale, selon la m\u00e9thode de Bricker,    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    la reconstruction d\u2019une vessie de remplacement (n\u00e9ovessie),    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    ou d\u2019un r\u00e9servoir urinaire continent.    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a6b255d3cd8296ce441027c72b15eea7   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--012c0f59e4fa6434a97af1493ca197b3\" style=\"color:#603c37\">Ces options sont d\u00e9crites plus en d\u00e9tail ci-apr\u00e8s. Le choix de la technique est souvent d\u00e9termin\u00e9 par le profil du patient, mais aussi par les caract\u00e9ristiques de la tumeur.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-275c15d95d05e56e61487cfba292cc81  mhh-mcn-v1-heading mhh-mcn-v1-heading--fb3cbf7a2dffd971bd0c9ae2e0f425de\" style=\"color:#0065a0\"><strong>2.1. La stomie urinaire ou d\u00e9rivation de Bricker<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-ee7d414b34c00841ea580366a2f8f349   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5bc55a7cff95cb0ca7e514904d8a7a54\" style=\"color:#603c37\">L\u2019option la plus fr\u00e9quente consiste \u00e0 cr\u00e9er une stomie urinaire. Le chirurgien utilise un petit segment d\u2019intestin, auquel il raccorde les uret\u00e8res. Ce segment est ensuite reli\u00e9 \u00e0 une ouverture (stomie) pratiqu\u00e9e dans la peau de l\u2019abdomen. Un sac collecteur est appos\u00e9 sur cette ouverture pour recueillir syst\u00e9matiquement l\u2019urine. L\u2019urine collect\u00e9e \u00e0 l&rsquo;ext\u00e9rieur du corps par le moyen de cette poche doit \u00eatre vid\u00e9e r\u00e9guli\u00e8rement.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--286e0537ee5c18addec29627ef659219\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90690\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-cystectomie-2-1-fr.png?quality=80&#038;lossy=1\"\n        width=\"1931\"\n        height=\"1603\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-b7c86409efbfdad1f377cdde773d1438  mhh-mcn-v1-heading mhh-mcn-v1-heading--789f638cb3403aa77fda543bc59b3385\" style=\"color:#0065a0\"><strong>2.2. La n\u00e9ovessie (vessie de substitution)<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-c9c12cda93ac8d11641acacf37148c66   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--7e51c3287e3b2b52b9cb269c88dfdc18\" style=\"color:#603c37\">Une autre alternative, est d\u2019utiliser une vessie de remplacement fabriqu\u00e9e \u00e0 partir d\u2019un morceau plus important de votre intestin. Le chirurgien fa\u00e7onne alors \u00e0 l\u2019aide de ce morceau d\u2019intestin un r\u00e9servoir capable de recevoir l\u2019urine et le relie ensuite, \u00e0 la fois aux uret\u00e8res, et \u00e0 l\u2019ur\u00e8tre. L\u2019urine, ainsi recueillie dans le corps par cette n\u00e9ovessie, est \u00e9vacu\u00e9e de mani\u00e8re naturelle par l\u2019ur\u00e8tre.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-fbb776411a5933389626373573673aae   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d23603ba258ef9bba7e7a51a295616bb\" style=\"color:#603c37\">Cette intervention est beaucoup plus complexe et ne peut pas \u00eatre effectu\u00e9e avec n\u2019importe quelle tumeur. Sa grande complexit\u00e9 peut donc entra\u00eener des complications suppl\u00e9mentaires en comparaison de la r\u00e9alisation d\u2019une stomie.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--b378adabc4f6b89d89422840b77a257c\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90691\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-cystectomie-2-2-fr.png?quality=80&#038;lossy=1\"\n        width=\"1853\"\n        height=\"1607\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-73ea8094ca172d8598264e49391ee6ec  mhh-mcn-v1-heading mhh-mcn-v1-heading--b7222b5bce3b27d09ddf7fa11e12589e\" style=\"color:#0065a0\"><strong>2.3. La stomie urinaire continente<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a1c95c6b2e03711ec32e573c5e34d032   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c6d2945bb322c05adcc1ec220a31ab46\" style=\"color:#603c37\">Cette derni\u00e8re alternative utilise \u00e9galement un segment de votre intestin. Un r\u00e9servoir interne est fabriqu\u00e9, raccord\u00e9 aux uret\u00e8res. Contrairement \u00e0 la n\u00e9ovessie, ce r\u00e9servoir n\u2019est pas connect\u00e9 \u00e0 l\u2019ur\u00e8tre. Une stomie (souvent proche du nombril) est utilis\u00e9e pour \u00e9vacuer l\u2019urine. L\u2019urine collect\u00e9e dans ce r\u00e9servoir \u00e0 l\u2019int\u00e9rieur du corps devra \u00eatre vid\u00e9e plusieurs fois par jour \u00e0 l\u2019aide d\u2019un cath\u00e9ter qu\u2019il aura introduit via la stomie.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-44dcc2d123f33a2bd2381a3ead20fe3c   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3ae43dec5221a90d773fc93096052946\" style=\"color:#603c37\">Cette intervention est \u00e9galement plus complexe qu\u2019une stomie classique (plus grande) et n\u00e9cessite que le patient soit suffisamment habile pour cath\u00e9t\u00e9riser la stomie.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--8dd35ad2efee847f625cf67da0d5b999\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90692\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-cystectomie-2-3-fr.png?quality=80&#038;lossy=1\"\n        width=\"1805\"\n        height=\"1616\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" id=\"blaasspoelingen\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-8276565f0219f03ce5a3600021c59a1e  mhh-mcn-v1-heading mhh-mcn-v1-heading--e5b9b0423f2171ba25dfd281e711937b\" style=\"color:#0065a0\"><strong>Instillations v\u00e9sicales<\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2a6a12e7ac70b727ec4ab6be952030ab   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--527819dcfd36838858fe4f1536b58185\" style=\"color:#603c37\">Apr\u00e8s analyse de la tumeur au microscope effectu\u00e9 par l\u2019\u00e9quipe multidisciplinaire, votre m\u00e9decin peut recommander un traitement compl\u00e9mentaire \u00e0 la r\u00e9section initiale (TURB) et demander qu\u2019une instillation v\u00e9sicale \u00e0 l\u2019aide d\u2019un m\u00e9dicament sp\u00e9cifique soit effectu\u00e9e.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-8768a0420b7ae85da8412a33d5f97da3   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5449d86f64c16e51b32ad61e58e7ca44\" style=\"color:#603c37\">Lors d\u2019un lavage v\u00e9sical ou d\u2019une instillation locale, une solution m\u00e9dicamenteuse sp\u00e9cifique est inject\u00e9e dans la vessie via l\u2019ur\u00e8tre \u00e0 l\u2019aide d\u2019un cath\u00e9ter ou d\u2019une sonde afin de d\u00e9truire les cellules canc\u00e9reuses qui auraient pu subsister. La dur\u00e9e du traitement et le type de m\u00e9dicament utilis\u00e9 peuvent varier en fonction du risque de r\u00e9cidive.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-af160948912af76fef753e50f60ac617   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--98e98a6d47c4feeaff450c03d0f9622c\" style=\"color:#603c37\">Types de m\u00e9dicaments utilis\u00e9s pour les instillations v\u00e9sicales\u00a0:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--b368e5d28d1d07c3d1a51b57eb431d68 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Chimioth\u00e9rapie intrav\u00e9sicale\u00a0:<\/strong><br>Il s\u2019agit de m\u00e9dicaments cytotoxiques (qui tuent les cellules canc\u00e9reuses) ou inhibent leur croissance. Parfois, on chauffe l\u00e9g\u00e8rement la solution pour augmenter son efficacit\u00e9, on parle alors de chimioth\u00e9rapie hyperthermique (ou chemo-hyperthermie).    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Th\u00e9rapie immunostimulante\u00a0:<\/strong><br>Le Bacillus Calmette-Gu\u00e9rin (BCG), un vaccin initialement d\u00e9velopp\u00e9 contre la tuberculose, peut \u00eatre \u00e9galement utilis\u00e9 dans le traitement du cancer de la vessie car il stimule l\u2019activit\u00e9 du syst\u00e8me immunitaire, le rendant plus apte \u00e0 reconna\u00eetre et attaquer les cellules canc\u00e9reuses situ\u00e9es dans la vessie.    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-b1c32abeecb97d1ba9b3a987d04f4260   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a5b169b58d9ffd32861b4441e47636e6\" style=\"color:#603c37\">Les lavages v\u00e9sicaux peuvent \u00e9galement provoquer certaines irritations de la vessie, entra\u00eenant des troubles urinaires. L\u2019infection urinaire constitue un effet secondaire fr\u00e9quent, caus\u00e9 notamment par la r\u00e9p\u00e9tition des instillations. Les lavages effectu\u00e9s au BCG peuvent provoquer un syndrome grippal. Signalez toujours ces sympt\u00f4mes \u00e0 votre m\u00e9decin traitant.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--4107e25c23d7caca1ff0e8927296f345 mhh-mcn-v1-image--align-items-start\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-90448\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-blaasspoeling-nl.png?w=154&#038;quality=80&#038;lossy=1\"\n        width=\"154\"\n        height=\"300\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"systemische-behandeling\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5a1022247c5bb9693dd1065c896243c8  mhh-mcn-v1-heading mhh-mcn-v1-heading--3976d9452a44bfefdff2d4499a56bda8\" style=\"color:#812990\"><strong>3. Traitement syst\u00e9mique<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-281cc078a882fc6fed25591457d60203   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3377a4707d305815e80157ee1761f680\" style=\"color:#603c37\">Contrairement aux th\u00e9rapies locales qui ciblent directement la tumeur, les traitements syst\u00e9miques (ou g\u00e9n\u00e9raux) agissent sur l\u2019ensemble du corps. Ce type de traitement est particuli\u00e8rement indiqu\u00e9 lorsque le cancer de la vessie n\u2019est plus localis\u00e9, mais s\u2019est propag\u00e9 \u00e0 d\u2019autres parties du corps\u00a0: on parle alors de m\u00e9tastases.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-b401438e633f2935ce82e8dbb3942726   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1ebe7b75d8691e4f0d450a615595da62\" style=\"color:#603c37\">Avec une th\u00e9rapie syst\u00e9mique, le m\u00e9dicament atteint non seulement les cellules canc\u00e9reuses diss\u00e9min\u00e9es, mais aussi les tissus sains, ce qui peut entra\u00eener des effets secondaires.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-159aea7e8c3e604169390aed7ecfb155  mhh-mcn-v1-heading mhh-mcn-v1-heading--c4e6e7e3bb3163527fa41b553cf4278a\" style=\"color:#0065a0\"><strong>Chimioth\u00e9rapie syst\u00e9mique<\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2c66cbdde28eca2cb993606ffc8b43fd   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3476744fb112bac93290de7e7b44b6c6\" style=\"color:#603c37\">La chimioth\u00e9rapie est un traitement \u00e0 base de m\u00e9dicaments cytotoxiques qui tuent les cellules canc\u00e9reuses ou ralentissent leur croissance. Ces m\u00e9dicaments sont administr\u00e9s par perfusion intraveineuse, g\u00e9n\u00e9ralement en h\u00f4pital de jour. Un traitement de soutien peut \u00eatre n\u00e9cessaire pour mieux g\u00e9rer les effets secondaires.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-eec1402665e66484f7ee0dd8b9be1669   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3042c14983e9773d96a3399e456d1246\" style=\"color:#603c37\">La chimioth\u00e9rapie syst\u00e9mique peut \u00eatre utilis\u00e9e avant ou apr\u00e8s une cystectomie, en combinaison avec une radioth\u00e9rapie, ou comme traitement autonome.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--e73c93eb9bfe3c302994157a8ab0beda\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-90449\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-chemotherapy-nl.png?w=202&#038;quality=80&#038;lossy=1\"\n        width=\"202\"\n        height=\"300\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-e20e4b4232bc1d41e8ac4fe925088b8f  mhh-mcn-v1-heading mhh-mcn-v1-heading--913d70a791991b0bcd45c070f6fda35c\" style=\"color:#0065a0\"><strong>Th\u00e9rapies cibl\u00e9es<sup>9,13-15<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-c696500d9b2c2adfba2760a071326aef   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2ee18298d73e6f2f9498a189c20a4f1\" style=\"color:#603c37\">La th\u00e9rapie cibl\u00e9e est un traitement qui agit sp\u00e9cifiquement sur certaines caract\u00e9ristiques des cellules canc\u00e9reuses. Elle affecte donc parfois moins les tissus sains environnants.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--fad81875ee9a1cfed8fd8345569d922f mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--fb478bb1a41a9c9bd6be4bb7c26faf4b mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-5 mhh-mcn-column--l-5\">\n    \n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-df19246e2fb01e3972b5c1182fddc9cd  mhh-mcn-v1-heading mhh-mcn-v1-heading--3681beba6ceae3fde1225b46cede3ebf\" style=\"color:#0065a0\"><strong>Inhibiteurs d\u2019alt\u00e9rations tumorales<sup>9,14<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-75b35148bee8049d13e62d8680968775   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2f7a6dee7b8f6af6c73b271b2988e80b\" style=\"color:#603c37\">De nombreuses th\u00e9rapies cibl\u00e9es agissent sur des \u00ab\u00a0alt\u00e9rations tumorales\u00a0\u00bb sp\u00e9cifiques. Ces anomalies apparaissent lors du d\u00e9veloppement du cancer et permettent aux cellules tumorales de continuer \u00e0 cro\u00eetre et se multiplier. La th\u00e9rapie cibl\u00e9e vise \u00e0 bloquer ces m\u00e9canismes. Dans le cas du cancer de la vessie, il existe un m\u00e9dicament qui n\u2019est efficace que si la cellule canc\u00e9reuse montre une mutation sp\u00e9cifique dans une prot\u00e9ine appel\u00e9e FGFR (r\u00e9cepteur du facteur de croissance des fibroblastes). Toutes les tumeurs de la vessie ne pr\u00e9sentent pas cette mutation, c\u2019est pourquoi votre m\u00e9decin r\u00e9alisera d\u2019abord un test afin de v\u00e9rifier si vos cellules tumorales sont concern\u00e9es et si ce traitement peut vous convenir.<\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-32b5db033531643f182202c170480f8f  mhh-mcn-v1-heading mhh-mcn-v1-heading--a0a804075d40418b3552e71a6934447e\" style=\"color:#0065a0\"><strong>Anticorps conjugu\u00e9s (ADC)<sup>9,15<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-c6001469f53391a78a74255a7989112c   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--7a761b0f690ce230cdc89e0d6170554c\" style=\"color:#603c37\">Les anticorps conjugu\u00e9s (ou ADCs pour antibody-drug conjugates) sont des traitements compos\u00e9s qui associent un anticorps, servant de syst\u00e8me de ciblage, \u00e0 un agent cytotoxique. L\u2019anticorps reconna\u00eet les prot\u00e9ines sp\u00e9cifiques \u00e0 la surface des cellules canc\u00e9reuses et s\u2019y lie. Cela permet de d\u00e9livrer l\u2019agent cytotoxique directement \u00e0 la cellule tumorale, en \u00e9pargnant autant que possible les cellules saines.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-50296c17b80dd075936def01b3a1329b   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--4f0f1d33f58a9b27a156495b45c7f51f\" style=\"color:#603c37\">Un exemple de th\u00e9rapie cibl\u00e9e utilis\u00e9e dans le cancer de la vessie est un m\u00e9dicament qui cible la prot\u00e9ine appel\u00e9e Nectin 4, pr\u00e9sente \u00e0 la surface des cellules canc\u00e9reuses de la vessie, ce qui permet de lib\u00e8rer le traitement de la chimioth\u00e9rapie de mani\u00e8re cibl\u00e9e.<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--3cacf6be51b557315379aa654d96cce8 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-7 mhh-mcn-column--l-7\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--d8e12f68dcdbe73c06201794650c6e1a mhh-mcn-v1-image--align-items-center\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--large wp-image-90688\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-gerichte-therapie-fr.png?w=354&#038;quality=80&#038;lossy=1\"\n        width=\"354\"\n        height=\"1024\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6b1eae01e909c41184ba9aa0a40d2e74  mhh-mcn-v1-heading mhh-mcn-v1-heading--357691b86d013507963c57defe60ac2a\" style=\"color:#0065a0\"><strong><strong>Immunoth\u00e9rapie<\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6512dd57c635ce8ffddcf310a3bc4673  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--42e312c05e06a4560deedd34a5fb5772\" style=\"color:#603c37\">Ce traitement vise \u00e0 stimuler le syst\u00e8me immunitaire pour qu\u2019il puisse mieux reconna\u00eetre les cellules canc\u00e9reuses et ainsi parvenir \u00e0 les d\u00e9truire. Ce type de traitement est abord\u00e9 plus en d\u00e9tail sur la page consacr\u00e9e \u00e0 <a href=\"https:\/\/www.msdconnect.be\/fr\/therapeutic-areas\/immunotherapie-dans-le-traitement-des-cancers-urologiques\/l-immunotherapie\/\">l\u2019immunoth\u00e9rapie<\/a>.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--fe33da6080a4861319faf779a85cfcd2 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--3e10e216be7dd33ece3e7db506eef74d mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-7 mhh-mcn-column--l-7 mhh-mcn-column--offset-m-1 mhh-mcn-column--offset-l-1\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--44e29ac33fad069dc88775fefec3ad9f\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-90601\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/immunotherapie-2-fr.png?quality=80&#038;lossy=1\"\n        width=\"1250\"\n        height=\"765\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-94af0770ef128e15ece222b5e438f6ef  mhh-mcn-v1-heading mhh-mcn-v1-heading--65369b3f65f9be8aabaa769758def2f8\" style=\"color:#0065a0\"><strong><strong>Combinaisons de 2 traitements syst\u00e9miques<sup>16-18<\/sup><\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3612778dd962effd5f062c3f5b627a13   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--31160364032d6a6fc7dc9e83e0fafa13\" style=\"color:#603c37\">Des recherches r\u00e9centes montrent qu\u2019il peut \u00eatre profitable de combiner deux types de traitements syst\u00e9miques, par exemple, l\u2019immunoth\u00e9rapie avec la chimioth\u00e9rapie, ou l\u2019immunoth\u00e9rapie avec un anticorps conjugu\u00e9.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-f4ba831bd045bbeba3fa0c0bed08afd9   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--4b1778aa37962690aa6a5d3cc41450b7\" style=\"color:#603c37\">Ces associations permettent d\u2019attaquer les cellules canc\u00e9reuses de deux fa\u00e7ons\u00a0:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--aba777883b68addd7e418c00c384f657 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    directement, gr\u00e2ce \u00e0 la chimioth\u00e9rapie ou \u00e0 l\u2019anticorps conjugu\u00e9 ou    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    indirectement, en activant le syst\u00e8me immunitaire du patient pour qu\u2019il lutte lui aussi contre le cancer.    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"combinatie\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-c154236490d53c1c2b054c73cddedef3  mhh-mcn-v1-heading mhh-mcn-v1-heading--3791981adcb061ecf508bc6af4dc2463\" style=\"color:#812990\"><strong>4. Association d\u2019une cystectomie avec un traitement syst\u00e9mique<sup>9,19-20<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-772654453f33cc5dfe0c13d43f08c90d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5634094286ce311d88c6b154cdfdf90c\" style=\"color:#603c37\">Une th\u00e9rapie syst\u00e9mique peut \u00eatre administr\u00e9e avant ou apr\u00e8s, voire avant et apr\u00e8s un traitement local.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-7ad10ea82c13c0344d5a2a9c9b4d85a0   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--709c311018e351936cb74a152be7f0f9\" style=\"color:#603c37\">L\u2019administration d\u2019un traitement syst\u00e9mique avant une intervention chirurgicale a pour objectif de r\u00e9duire la taille de la tumeur, afin de faciliter son ablation. En compl\u00e9ment, une th\u00e9rapie syst\u00e9mique administr\u00e9e avant ou apr\u00e8s la chirurgie peut \u00e9galement d\u00e9truire les cellules canc\u00e9reuses qui auraient d\u00e9j\u00e0 quitt\u00e9 la vessie, r\u00e9duisant ainsi le risque de r\u00e9cidive.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-800c0716487d87f5172e993b23887274   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--fb51642dbdd406c85590e20457d0d692\" style=\"color:#603c37\">En effet, chez certains patients, le scanner (CT-scan) ne montre qu\u2019une tumeur localis\u00e9e dans la vessie, alors que des cellules canc\u00e9reuses ont d\u00e9j\u00e0 pu migrer vers d\u2019autres parties du corps, comme par exemple dans le sang ou les ganglions lymphatiques. Cela s\u2019explique par le fait que ces cellules sont microscopiques, trop petites pour \u00eatre d\u00e9tect\u00e9es \u00e0 ce stade par l\u2019imagerie m\u00e9dicale.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-ba92aeea6d4a8ff63d627b78ab871c61   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--fe73d4e9f6cc36e318ac92efc1be6627\" style=\"color:#603c37\">Ce n\u2019est que lorsqu\u2019elles continuent de se multiplier jusqu\u2019\u00e0 former une masse qu\u2019elles deviennent visibles sur les images. Il est donc crucial de supprimer ou de d\u00e9truire ces cellules canc\u00e9reuses diss\u00e9min\u00e9es, car elles risquent, \u00e0 terme, de former des m\u00e9tastases et de provoquer une rechute.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-848d11268d0684d927cef0f5eaaeb609   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--cb816eb79f5c4b8b69a105c76b8fb262\" style=\"color:#603c37\">Votre m\u00e9decin \u00e9valuera le risque de diss\u00e9mination des cellules canc\u00e9reuses \u00e0 partir des caract\u00e9ristiques propres de votre cancer, ainsi que des r\u00e9sultats de l\u2019analyse microscopique du tissu tumoral.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--bf17d071306e56d817f2026b9ea35c22\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-90451\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-combination-therapy.png?w=300&#038;quality=80&#038;lossy=1\"\n        width=\"300\"\n        height=\"234\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"klinische-studies\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-abc90abfa22d5b90648e834642cb9ef3  mhh-mcn-v1-heading mhh-mcn-v1-heading--9c38d0eaf871f8b2afd845cf9549c71f\" style=\"color:#812990\"><strong>5. La recherche clinique<sup>9<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-e6f14ac69e52fcfd8c232ff33b0a6516   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--16d30c441ec5e1608346ccadea0f3032\" style=\"color:#603c37\">Chaque jour, des chercheurs s\u2019efforcent de mieux comprendre le cancer de la vessie. Cela permet de d\u00e9velopper de nouvelles approches th\u00e9rapeutiques.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d0498b59a7939dce9c85e16cb3f444ce   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--61964e07886dbafc4c2bf0f5ab351e9e\" style=\"color:#603c37\">Les \u00e9tudes cliniques sont le seul moyen pour les chercheurs de v\u00e9rifier si un nouveau traitement, tel qu\u2019un m\u00e9dicament exp\u00e9rimental, est s\u00fbr et efficace chez l\u2019\u00eatre humain.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--4ddd845bdd336d2462bd3f5c0ed39820 mhh-mcn-v1-image--align-items-start\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-90450\"\n        src=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/uploads\/sites\/15\/2026\/08\/bladder-clinical-research.png?w=300&#038;quality=80&#038;lossy=1\"\n        width=\"300\"\n        height=\"281\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-919174fbfa3eceec3a6398aeab40044f  has-link-color mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b2a79823715a25aeed0e1aa098b910b4\" style=\"color:#603c37\"><a href=\"#apercu\">Retour \u00e0 l\u2019aper\u00e7u<\/a>&nbsp;&gt;<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 dir=\"ltr\" lang=\"fr-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-4495b28b59b51ac83aa358cf47b703eb  mhh-mcn-v1-heading mhh-mcn-v1-heading--afd03d78f3c69d675736f2a7888a1cfc\" style=\"color:#603c37\"><strong><strong>Informations additionnelles<\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"fr-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-70c2b643ae9c29b5e3a8e61354e11dcb   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2942634aca8da08eac5a9b7e2a2fbb47\" style=\"color:#603c37\">Vous souhaitez en savoir plus sur le traitement du cancer de la vessie\u00a0? N\u2019h\u00e9sitez pas \u00e0 consulter les sites web suivants\u00a0:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--a30d4eb63c6d20bbe1023dc07decc8e5 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    La fondation contre le cancer\u00a0: Sur la page d\u2019accueil <a href=\"https:\/\/www.cancer.be\">www.cancer.be<\/a> cliquez sur l\u2019onglet \u00ab\u00a0Le cancer\u00a0\u00bb, puis dans le champ \u00ab\u00a0Autres types de cancer\u00a0\u00bb\u00a0: tapez \u00ab\u00a0cancer de la vessie\u00a0\u00bb.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    VIDAL\u00a0: Sur la page d\u2019accueil <a href=\"https:\/\/www.vidal.fr\">www.vidal.fr<\/a> cliquez sur l\u2019onglet \u00ab\u00a0Maladies\u00a0\u00bb, \u00ab\u00a0Maladie de A\u00a0\u00e0 Z\u00a0\u00bb, cliquez sur \u00ab\u00a0Cancers\u00a0\u00bb, puis sur \u00ab\u00a0Cancer de la vessie\u00a0\u00bb    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    En savoir plus sur les essais cliniques en cours en Belgique\u00a0: <a href=\"https:\/\/www.cancertrials.be\">www.cancertrials.be<\/a>    <\/li>\n\n<\/ul>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n    <\/div>\n<\/section>\n\n\n<div class=\"mhh-mcn-v1-accordion mhh-mcn-v1-accordion--a95d11c9b6d67508b53e1df6a7601abd mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"    dir=\"ltr\"    lang=\"fr-BE\">\n    \n\n<section\n    id=\"accordion-6ab1f1536dbc8\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--5cf95c673bd1dbab73580f984ba95002 mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6ab1f1536dbc8-header\"\n        class=\"mhh-mcn-v1-accordion-molecule-header\"\n    >\n        <button\n            class=\"mhh-mcn-v1-accordion-molecule-header__heading\"\n            aria-expanded=\"false\"\n            aria-controls=\"accordion-6ab1f1536dbc8-content\"\n        >\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                R\u00e9f\u00e9rences            <\/span>\n            <span class=\"mhh-mcn-v1-accordion-molecule-header__icon-dropdown\" aria-hidden=\"true\">\n                \n<svg width=\"1em\" height=\"1em\" class=\"mh-icon mh-icon--kind-generic mh-icon--name-dropdown-arrow mh-icon--dropdown-arrow\" role=\"img\" aria-hidden=\"true\">\n    \n    \n    <use xlink:href=\"https:\/\/www.msdconnect.be\/fr\/wp-content\/themes\/cex-wpvip-mhh-mconnect-theme-new-3.0\/modules\/icons\/resources\/icons\/svg\/generic\/dropdown-arrow.svg#dropdown-arrow\"><\/use>\n<\/svg>\n            <\/span>\n        <\/button>\n    <\/h4>\n    <div\n        id=\"accordion-6ab1f1536dbc8-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6ab1f1536dbc8-header\"\n    >\n        <div class=\"mhh-mcn-v1-accordion-molecule-content__body\">\n            \n\n<ol class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--c198a510e94d76ee8b69c9e85d0861be mhh-mcn-list mhh-mcn-v2-clist--ordered mhh-mcn-v2-clist--ordered-decimal\" dir=\"ltr\" lang=\"fr-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Medscape. Bladder Anatomy: Overview. Bladder Anatomy: Overview, Gross Anatomy, Microscopic Anatomy (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    National Institute of Diabetes and Digestive and Kindey Diseases (NIDDK). The Urinary Tract &amp; How It Works. The Urinary Tract &amp; How It Works &#8211; NIDDK (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kanker.nl. Informatie over de blaas. Blaaskanker? Lees betrouwbare info &#8211; kanker.nl (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Union Internationale Contre le Cancer (UICC). Qu\u2019est-ce que le cancer? Qu&rsquo;est-ce que le cancer ? | World Cancer Day (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    National Cancer Institute (NCI). What Is Bladder Cancer? What Is Bladder Cancer? &#8211; NCI (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Gluck G, Hortopan M, St\u0103nculeanu D, Chiri\u0163\u0103, M, Stoica R, Sinescu I. Comparative study of conventional urothelial carcinoma, squamous diff erentiation carcinoma and pure squamous carcinoma in patients with invasive bladder tumors. J Med Life. 2014 Jun 15;7(2):211-4.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    American Cancer Society. Cancer Staging. Cancer Staging | Has Cancer Spread | Cancer Prognosis | American Cancer Society (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    National Cancer Institute (NCI). Bladder Cancer Stages &#8211; NCI (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    American Cancer Society. Treating Bladder Cancer. Treating Bladder Cancer | Bladder Cancer Treatment | American Cancer Society (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kanker.nl. Behandelingen bij blaaskanker. Behandeling van blaaskanker | Kanker.nl (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    MyBladderCancerTeam. Trimodality Therapy for Bladder Cancer: Is It Effective? Trimodality Therapy for Bladder Cancer: Is It Effective? | MyBladderCancerTeam (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    The Britisch Association of Urological Surgeons. Transurothelial Telescopic Resection of a Bladder Tumor. Bladder tumour resection.pdf (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    The Cancer Council. Understanding targeted therapy. 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N Engl J Med 2023;389(19):1778-89.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Powles T, Et al. Avelumab Maintenance Therapy for Advanced or Metastatic Urothelial Carcinoma NEJM. 2020;383:1218-1230    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Zhang Z, Fan W, Deng Q, Tang S, Wang P, Xu P, Wang J, Yu M. The prognostic and diagnostic value of circulating tumor cells in bladder cancer and upper tract urothelial carcinoma: a meta-analysis of 30 published studies. Oncotarget. 2017 Jun 16;8(35):59527-59538.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kurahashi T, Hara I, Oka N, Kamidono S, Eto H, Miyake H. Detection of micrometastases in pelvic lymph nodes in patients undergoing radical cystectomy for locally invasive bladder cancer by real-time reverse transcriptase-PCR for cytokeratin 19 and uroplakin II. Clin Cancer Res. 2005 May 15;11(10):3773-7.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Understanding Cancer Immunotherapy Research (UCIR). T cells: Warriors of the immune system | UCIR (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    National Cancer Institute (NCI) Immune Checkpoint Inhibitors. https:\/\/www.cancer.gov\/about-cancer\/treatment\/types\/immunotherapy\/checkpoint-inhibitors (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Cancer Research UK. Checkpoint Inhibitors. Checkpoint inhibitors | Types of immunotherapy | Cancer Research UK (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    European Society for Medical Oncology (ESMO). Patient guide on immunotherapy-related side eff ects and their management https:\/\/patient-guides.esmo.org\/#\/patient-guide (derni\u00e8rement consult\u00e9 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kanker.nl. Bijwerkingen van immunotherapie. 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