{"id":86005,"date":"2026-03-31T16:19:18","date_gmt":"2026-03-31T16:19:18","guid":{"rendered":"https:\/\/www.msdconnect.be\/nl\/?post_type=therapeutic-area&#038;p=86005"},"modified":"2026-09-22T16:25:12","modified_gmt":"2026-09-22T16:25:12","slug":"behandelingsopties","status":"publish","type":"therapeutic-area","link":"https:\/\/www.msdconnect.be\/nl\/therapeutic-areas\/immunotherapie-voor-de-behandeling-van-urologische-kankers\/blaaskanker\/behandelingsopties\/","title":{"rendered":"Behandelingsopties"},"content":{"rendered":"\n<section class=\"mhh-mcn-v1-section mhh-mcn-v1-section--a076c33e8803b649c6215ae29039acf6 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--01e1f3cd3a2d8edd14c7a4797fec4428 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--a068e6a8b45c53f16897f9d71295ac3b mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<h2 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-77f0067a490484ba487cb8e5e2d149ff  mhh-mcn-v1-heading mhh-mcn-v1-heading--e36bdd2e90616f92a39183edc47cea9f\" style=\"color:#812990\"><strong>Blaaskanker&nbsp;\u2014<\/strong><\/h2>\n\n\n\n<h2 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-b752d16e0c9c1f0e6662b0154dfe7d84  mhh-mcn-v1-heading mhh-mcn-v1-heading--4b89f76913952b8bfe656a891fdd6bc8\" style=\"color:#812990\">Wat zijn de behandelingsopties?<\/h2>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--0ee441f161f78e45c688a31216b9698e 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--3145d111a8b8f07eee31d68b6484d357 mhh-mcn-v1-image--align-items-center\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86678\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/blaas-titel-e1785404222776.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--928245c89eb6b8dd2d1d77e0a914c170 mhh-mcn-section mhh-mcn-v1-section--align-full\">\n    <div class=\"mhh-mcn-container\">\n    \n\n<h3 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6daa96df85c24f49a86ed7e3a26bb3ca  mhh-mcn-v1-heading mhh-mcn-v1-heading--3ab5ed711ff1f3e34da9d56a61e86c8d\" style=\"color:#603c37\"><strong><strong>Hoe wordt blaaskanker behandeld?<\/strong><\/strong><\/h3>\n\n\n\n<h4 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a901381a84f8c32bee9a2585f8e9ac62  mhh-mcn-v1-heading mhh-mcn-v1-heading--42b1a70c5fdc8decabf3b46d5299c19a\" style=\"color:#603c37\"><strong>Wat gebeurt er tijdens de behandeling?<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-91a62655cd9138d67b071a038de96f0d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c56c710e47f7ced780ecb6cf404842b5 wp-block-paragraph\" style=\"color:#603c37\">Een kankerbehandeling heeft tot doel om de kankercellen:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--233ba667e3f6e47c03e4910b1378fc4d mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"nl-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    weg te snijden (cystectomie) (TURB)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    te vernietigen (blaasspoeling, systemische behandeling, bestraling)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    hun groei te stoppen (blaasspoeling, systemische behandeling, bestraling).    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-654306c272acfccc00b18228c76076ad   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e871bae22fee9276b1fd66e45511b23f wp-block-paragraph\" style=\"color:#603c37\">Hieronder vind je een algemeen overzicht van de mogelijke behandelingen van blaaskanker.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-cbfd808fe777589d0ab5cca9506edff3   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--4a60d28437194714b84a7049a4bded58 wp-block-paragraph\" style=\"color:#603c37\">Een team van artsen, met verschillende specialisaties (uroloog, radioloog, oncoloog, radiotherapeut, patholoog,&nbsp;\u2026) zal onderling overleggen over de beste behandeling, aangepast aan je specifieke situatie. Dit gebeurt tijdens een multidisciplinair oncologisch consult (MOC).<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--3cb9960a40d56d2cce0f8a590fda8896 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--532b7b6e8c61aa45993c353f2e7f5776 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-af8e15c6f32b45d447344da6cc3250fc   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b79b55d4635b11b6a20e8bdc5e1d000a wp-block-paragraph\" style=\"color:#812990\"><strong>In bepaalde gevallen kan je dokter beslissen om de kanker niet actief te behandelen. Dit kan bijvoorbeeld het geval zijn als de tumor klein is, of traag evolueert, of als je gezondheid geen actieve behandeling toelaat.<\/strong><\/p>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" id=\"overzicht\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2090442d673b7e46d19dd2d2bba4a19a  mhh-mcn-v1-heading mhh-mcn-v1-heading--f9fe4cccbcad231810005d59dc995333\" style=\"color:#603c37\"><strong>Overzicht van behandelingsopties<\/strong><\/h3>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-7a306a4a1aaba817a20fc50edef86209   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--597f8377a5bcb236e599494a143d904b wp-block-paragraph\" style=\"color:#603c37\">Klik op een icoon om meer te leren over de betreffende behandelingsoptie.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--24140c43f73be016f57482d5d4f3f7b9 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--303ce9ac56d15f1e1654d2785c260781 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--7175152cd26cd700fe4738767387a866 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-86783\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_01.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"TURB\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--e0f7820e7a7294d1f52751672e6ead12 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--65b6b128e977261898b6034dc196e1dd 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-86784\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_02.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"Cystectomie\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--9ae2df3c39a8d8dcdc177aae7dc61275 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--eb4531897c847e3530d49615b987d11e 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-86785\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_03.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"Systemische behandeling\"\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--77118222e5e295252c2335a06b9d2534 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--8768a6118347b74b89b8ce63c85c3526 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--bf9a70c111db3b10e778de816cd69b6b 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-86786\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_04.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"Blaasspoelingen\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--311fa12f238f2b86c53ec620afae3247 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--dff9909cb5d6bb0cd6e9610bbe7699ea mhh-mcn-v1-image--align-items-center\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86787\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_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--54fa23cf34520a9ecf68db87e7c5558f 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--d83c3fca080571a6a97d5293e2cb7b9a\">\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-86788\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_06.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"640\"\n        loading=\"lazy\"        alt=\"Cystectomie + systemische behandeling\"\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--75731e48c535d462a020b486ce6541ee 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--6c2778eda9e8add36fe5ca6030136ed3 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--33e3f5ee2833b96559e60b20d7615888 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-86789\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_07.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"Bestraling\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--b31f26d062236a27e8be0818bcf54d09 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--3389999ba08a8fbcacd458c806b3c511 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-86790\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_08.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"Nauwe opvolging\"\n            \/>\n        <\/a>\n        <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--c040162945a26b988151c4a7729efddc 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--2cc8477087c36faad4aed7f265cb091e\">\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-86791\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/08\/bladder-treatment-overview-nl_09.png?quality=80&#038;lossy=1\"\n        width=\"600\"\n        height=\"720\"\n        loading=\"lazy\"        alt=\"Klinische studies\"\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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a94b404bb70591dc79bcead273d504ec  mhh-mcn-v1-heading mhh-mcn-v1-heading--05d2bbb8a26cccd19b74604f3f6bce6d\" style=\"color:#603c37\"><strong>Wat zijn de verschillende mogelijke behandelingen voor blaaskanker?<\/strong><\/h3>\n\n\n\n<h5 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-106578929c572b7336ee8560b8cdb8d3  mhh-mcn-v1-heading mhh-mcn-v1-heading--554ad6aecb4c231c07e3ed99b4830763\" style=\"color:#603c37\"><strong>Welke types behandelingen zijn er?<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-ae2ec25da26446a7007067f491677302   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e4d0745d362f99eb884dd70dab739ad3 wp-block-paragraph\" style=\"color:#603c37\">Er zijn verschillende behandelingsmogelijkheden voor blaaskanker die alleen of in combinatie kunnen worden toegepast. Hieronder vindt u meer informatie.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--42b624dfc391b2f59d636224ab0e472c 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--30a4b773709e78641c36478728f8f42f mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-12\">\n    \n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-114e430076b799f71a0ce26487e0da15   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--40b0e8e9f8a335d5f96df5f901bd27cf wp-block-paragraph\" style=\"color:#812990\"><strong><strong>Opgelet, niet al deze behandelingen zijn voor iedereen een goede keuze. Je behandelend team zal met jou de opties bespreken die gepast zijn voor je speci\ufb01eke situatie en het meest geschikte behandelingsplan opstellen.<\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-ea74d2f8517cb121aa56444481cda60c  mhh-mcn-v1-heading mhh-mcn-v1-heading--3e84b52b2ac98f2a40d10c3dc3da7f93\" style=\"color:#812990\"><strong>1. Nauwe opvolging<sup>10<\/sup><\/strong><\/h4>\n\n\n\n<h5 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-1f050f40023e1eb6b71b1f7f6534c513  mhh-mcn-v1-heading mhh-mcn-v1-heading--e7ada560a81df853de3b0d7973dbe8ab\" style=\"color:#603c37\"><strong>Zeer regelmatige doktersbezoeken en onderzoeken<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-31a5444d38dfa291fafdad8f7d20af45   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--4ab17c32e7f044d174cdd8b5f2c2c7d0 wp-block-paragraph\" style=\"color:#603c37\">Tijdens een nauwe opvolging van de kanker wordt geen actieve behandeling toegediend. Je arts zal zeer regelmatige afspraken en onderzoeken plannen om je kanker van zeer nabij op te volgen. Vaak staat het regelmatig kijken in de blaas met een camera onder lokale verdoving hierbij centraal, dit heet een cystoscopie. Bijkomend kan ook opgevolgd worden door middel van beeldvorming (CT-scan of MRI-scan) en onderzoek van de urine (celonderzoek van de urine ofwel cytologie).<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-18de557406a7105d96e9fa8995f258cd  mhh-mcn-v1-heading mhh-mcn-v1-heading--7853083439ebd0fd6c5f70820d9fd613\" style=\"color:#812990\"><strong>2. Lokale behandelingen<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-8c20eba84b5a53c3d05fba806ba421e2   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--a2d773598ee5faf588efc8bab0680b83 wp-block-paragraph\" style=\"color:#603c37\">Concentreren zich op de plaats waar de tumor zich bevindt en het gebied errond.<\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a5652b36680f13347807eb739c92c3d3  mhh-mcn-v1-heading mhh-mcn-v1-heading--db8dc44bfedaa8bc922cdeeee5d38c3b\" style=\"color:#0065a0\"><strong>Bestraling<sup>11<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-e3c5274a1a00ee3d25e52d02836d6149   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e210550455913bc83f85f52aa41dc587 wp-block-paragraph\" style=\"color:#603c37\">Bestraling of radiatie als monotherapie krijg je enkel als je lichaam een operatie of systemische therapie niet kan verdragen. Het doel van de bestraling is om de ziekte onder controle te houden.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6106d78f343729e031c2f2e72ddf416e   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--0ede368a7a4d59e36fc63038186918e8 wp-block-paragraph\" style=\"color:#603c37\">Indien mogelijk wordt de bestraling best gecombineerd met chemotherapie, dan heet dit chemoradiatie. De combinatie geeft betere kankercontrole, doch ook meer bijwerkingen. Om optimale resultaten te verkrijgen wordt voor de chemoradiatie nog een TURB uitgevoerd om de tumor zo klein mogelijk te maken. Chemoradiatie met voorafgaande TURB wordt ook wel Triple therapie genoemd.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d17fc861c6ad221a13a8eb325d146ec8  mhh-mcn-v1-heading mhh-mcn-v1-heading--288df60d03a80ef3186e18823cf04e81\" style=\"color:#0065a0\"><strong>Chirurgie<\/strong><\/h4>\n\n\n\n<h5 dir=\"ltr\" lang=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3472d0a1d60dac361c56821bec8352aa  mhh-mcn-v1-heading mhh-mcn-v1-heading--98a7698f14f809d93a516fed3e34cdb5\" style=\"color:#0065a0\"><strong>1. TURB<sup>9,10,12<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-281561554834b901aa2efd1f208dd4d8   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e26bcc059ec9d4f5a6c0c7939b73c9d5 wp-block-paragraph\" style=\"color:#603c37\">Dit betekent Trans-Urethale Resectie van een Blaastumor: hierbij wordt via de plasbuis de tumor (grotendeels of volledig) verwijderd. Dit is vaak de eerste stap in zowel de diagnose als de behandeling van de blaastumor: op deze manier kan namelijk een stukje weefsel worden afgenomen om microscopisch onderzocht te worden. Het betreft een minimaal invasieve behandeling in daghospitalisatie of kortverblijf, vaak onder volledige narcose.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-e7eb1dae890e41c22467f54495af60fc   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c1c39394899c3a7b2cdb19e7504bdc72 wp-block-paragraph\" style=\"color:#603c37\">Bij deze ingreep wordt via een hol buisje (resectoscoop) gewerkt dat via de plasbuis in de blaas wordt gebracht. Via dit buisje kan met een camera in de blaas gekeken worden en de tumor worden verwijderd.<\/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--9adc35e69ce696bf8bb283364bbf93b9\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86811\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-turb-1-nl.png?quality=80&#038;lossy=1\"\n        width=\"1389\"\n        height=\"809\"\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=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-6b2f53d4c050eafe60dc323bdb8332f7   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b845b6732d4e33794009cc6355ff7151 wp-block-paragraph\" style=\"color:#603c37\">Met een resectosoop wordt de tumor verwijderd met behulp van een metalen lusje, waar een elektrische stroom doorheen loopt en die zo in het weefsel snijdt, of door middel van een laserstraal die de tumor losmaakt. Het losgemaakte weefsel wordt uit de blaas verwijderd en opgestuurd naar het laboratorium om onderzocht te worden.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--b70c7775d209c3d67cdc463640d8d901\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86815\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-turb-2-nl.png?quality=80&#038;lossy=1\"\n        width=\"1916\"\n        height=\"2273\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-cc8b7c9da43484e2efc10b6e63c4c8c7   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--85c7ed3340f2913dce97a1349fe47014 wp-block-paragraph\" style=\"color:#603c37\">Indien nodig kan op het moment van de operatie de TURB worden aangevuld met een bijkomende lokale spoeling van de blaas met chemotherapie, om de kans op het terugkomen van de kanker te verminderen. Hierbij wordt onmiddellijk na de operatie een oplossing van chemotherapie in de blaas ingebracht. Doordat dit geneesmiddel enkel lokaal met de blaas in contact komt, zijn de bijwerkingen voor de pati\u00ebnt vaak zeer beperkt.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-0fee78763f6f0f645d38d883c8019acd   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--ed298c2ffa90a0a38d0fa3e6217671b4 wp-block-paragraph\" style=\"color:#603c37\">Na de TURB operatie is er frequent nog wat bloed in de urine zichtbaar, dit verdwijnt meestal spontaan. Wat extra plasklachten kunnen ontstaan na de ingreep en doven meestal vanzelf uit.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-da04c7563a5ee3d813530fc2ab93f06d  mhh-mcn-v1-heading mhh-mcn-v1-heading--0547d2a3ff1fcf1a94c14776df0592cd\" style=\"color:#0065a0\"><strong>2. Cystectomie<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3df736eef4e7e04688a4b05e452f06de   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--67a553f2a1b134865c85c192b1446238 wp-block-paragraph\" style=\"color:#603c37\">Wanneer uw arts na de TURB heeft vastgesteld dat de tumor zich minimaal al in een dieper stadium bevindt (de tumor bevindt zich minimaal al in de blaasspier), is een bijkomende operatie om de blaas volledig te verwijderen een mogelijke behandeling. Dit noemt men ook een radicale (volledige) cystectomie.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9aae898685df9040abc42780ebfc3c6d   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c2e554158c6f015f38e52efe9f520241 wp-block-paragraph\" style=\"color:#603c37\">Na een volledige cystectomie, is er geen bewaarplaats meer voor de geproduceerde urine in het lichaam en zal de chirurg een alternatieve weg cre\u00ebren voor de urine om het lichaam te verlaten. Mogelijkheden zijn hier een urinestoma volgens Bricker, een neoblaasreconstructie, of een continent urinereservoir. Deze worden hieronder in meer detail besproken. De keuze van techniek wordt vaak bepaald door de karakteristieken van de pati\u00ebnt maar ook door de eigenschappen van de tumor.<\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9a9ef268d0226af950391063ca53d6c5  mhh-mcn-v1-heading mhh-mcn-v1-heading--2deb5b042d467a0bfce24362244d359d\" style=\"color:#0065a0\"><strong>2.1. Een Urinestoma of derivatie volgens Bricker<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-055f0709d3e5629196444d064ada8430   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e6470fc7567832fea753e8eb349c9fb6 wp-block-paragraph\" style=\"color:#603c37\">Het meest frequente alternatief voor je eigen blaas is een urinestoma. De chirurg gebruikt hiervoor een klein stukje van je eigen darm en sluit de urineleiders hierop aan. Dit stukje darm wordt vervolgens verbonden met een opening (stoma) in de huid van de buik. Op deze opening wordt een zakje gekleefd die de urine stelselmatig opvangt. De urine wordt buiten het lichaam in dit zakje opgevangen en dit moet regelmatig geledigd worden.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--3eb420ce89c04b4d43fa8c648e940a26\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86821\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-cystectomy-2-1-nl.png?quality=80&#038;lossy=1\"\n        width=\"1903\"\n        height=\"1738\"\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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-aac422e187c4a46699501a26cbdf780a  mhh-mcn-v1-heading mhh-mcn-v1-heading--a323aed7b6039983077d58e53f50f860\" style=\"color:#0065a0\"><strong>2.2. Constructie van een neoblaas (vervangblaas)<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-4c6bf5ef09065436ca24e6a842c1e975   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--39ae3e0d5bee92a26815467d74f312ca wp-block-paragraph\" style=\"color:#603c37\">Een ander alternatief voor je eigen blaas, is een vervangblaas die gemaakt wordt van een langer stukje van je eigen darm. Het stuk darm wordt door de chirurg omgevormd tot een reservoir dat de urine opvangt, en wordt verbonden met zowel de urineleiders als de plasbuis. Zo wordt de urine binnen het lichaam opgevangen in deze neoblaas en afgevoerd op de natuurlijke manier via de plasbuis.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-90dcef027a418f2cf12be8c9e08fa973   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--153e179b7d8af3ae09de1e81638111e4 wp-block-paragraph\" style=\"color:#603c37\">Deze ingreep is veel complexer en kan niet zomaar bij elke tumor worden uitgevoerd. De hoge complexiteit kan dus ook mogelijk voor extra complicaties zorgen ten opzichte van het aanleggen van een stoma.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--745fb84b316eccdae103a652e79dec87\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86824\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-cystectomy-2-2-nl.png?quality=80&#038;lossy=1\"\n        width=\"1911\"\n        height=\"1725\"\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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5c560cdaddb9c3802bf0ce23c80c27e4  mhh-mcn-v1-heading mhh-mcn-v1-heading--b9c347926e550b41ecea5c799a6cb145\" style=\"color:#0065a0\"><strong>2.3. Continent urinestoma<\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2ca14c1b5df9150b83f10d67a6e476df   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--70e1658692111e354d683c2cb33cdf73 wp-block-paragraph\" style=\"color:#603c37\">Het laatste mogelijke alternatief voor je eigen blaas maakt ook gebruik van een stukje van je eigen darm. De chirurg maakt een reservoir uit dit weefsel en sluit de urineleiders hierop aan. De plasbuis wordt bij dit alternatief echter niet aangesloten, een gaatje (stoma) in of in de buurt van de navel dient hier als uitgang van de blaas. De urine wordt binnen het lichaam opgevangen in het reservoir en wordt meerdere keren per dag geledigd via de stoma door middel van een katheter.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-03f16d6ec11d1e7c9e61ba0b1b821ffa   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--02461fcb90178269616a5569057f6125 wp-block-paragraph\" style=\"color:#603c37\">Ook deze ingreep is complexer dan een klassiek (groter) stoma en vereist dat de pati\u00ebnt voldoende handig is om het stoma te catheteriseren.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--335232de61a7a7a14ab3478bb82da89a\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86826\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-cystectomy-2-3-nl.png?quality=80&#038;lossy=1\"\n        width=\"1960\"\n        height=\"1754\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3edd58b0c5ef816eee414178c96221dd  mhh-mcn-v1-heading mhh-mcn-v1-heading--e00a2593f9d1e8bc8fd84cc77cfb7a75\" style=\"color:#0065a0\"><strong>Blaasspoelingen<\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-10d826693566edcdffe05400dcf1d82b   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--8c62997cc66463f208e2af167dcb09dc wp-block-paragraph\" style=\"color:#603c37\">Wanneer het multidisciplinair team na de TURB de tumor onder de microscoop heeft onderzocht, en de tumor bevindt zich nog niet in de blaasspier, acht je arts het soms nodig om de blaas na te behandelen door middel van blaasspoelingen met een bepaald medicijn.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a8b05d2a890e19d981401268ef832ab2   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b659fdd4b2e459b102ccd914bf889d07 wp-block-paragraph\" style=\"color:#603c37\">Bij blaasspoelingen of lokale instillaties wordt via een catheter of sonde een oplossing van een specifiek geneesmiddel via de plasbuis in de blaas gespoten om de eventueel achtergebleven kankercellen te vernietigen. Deze therapie kan vari\u00ebren van behandelingsduur en type geneesmiddel, afhankelijk van hoe groot het risico op herval is.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2d1e7fcb6623ac1af4f9a29e2cb35432   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b6fc9b7c7eca76c93883b533e87782a4 wp-block-paragraph\" style=\"color:#603c37\">Geneesmiddelen die gebruikt worden voor blaasspoelingen:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--662229accf8007f3f930b696104f20c5 mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"nl-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Chemotherapie:<\/strong><br>Celdodende geneesmiddelen die kankercellen doden, of hun groei remmen. Eventueel wordt deze therapie verwarmd toegediend (chemo-hyperthermie).    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    <strong>Immuun-stimulerende therapie:<\/strong><br>Bacillus van Calmette-Gu\u00e9rin (BCG), een vaccin tegen tuberculose dat ook werkt bij blaaskanker door het verhogen van de activiteit van het immuunsysteem dat hierdoor beter kankercellen zal aanvallen.    <\/li>\n\n<\/ul>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d0f5c959ddbcd8b8b6a6253f57a8a9a3   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--377e04d893efdcec1da8555befa64929 wp-block-paragraph\" style=\"color:#603c37\">Blaasspoelingen kunnen wat irritatie geven ter hoogte van de blaas met wat plasklachten tot gevolg. Een urineweginfectie is een frequente bijwerking. BCG-spoelingen kunnen een wat griepaal gevoel geven. Meld deze klachten steeds aan uw behandelend arts.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--adb178be333e7720ab0094de52e8c21b mhh-mcn-v1-image--align-items-start\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-86829\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/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=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-c2fb7b58d40a2ed0dbee28c99ea17b3a  mhh-mcn-v1-heading mhh-mcn-v1-heading--c5af3185a48acda4831c172a57c45cfb\" style=\"color:#812990\"><strong>3. Systemische behandeling<sup>9-10<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-a36b67d5cc3f443aff60c175547036e1   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c4ec747df3b55295f9f8ed170ef40d98 wp-block-paragraph\" style=\"color:#603c37\">In tegenstelling tot lokale therapie\u00ebn, die zich specifiek richten op de tumor, bereiken systemische (of algemene) behandelingen het hele lichaam. Dit kan voornamelijk van belang zijn wanneer de blaaskanker zich niet meer lokaal in de blaas bevindt, maar gemetastaseerd is: verspreid op andere plaatsen in het lichaam.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-db2711bbb29df2c8c0b30c96ab5988a8   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--6fa14dd8d8acc986bf29f3d9929518fc wp-block-paragraph\" style=\"color:#603c37\">Met systemische therapie komt het medicijn niet alleen terecht in de uitgezaaide kanker, maar ook in gezonde weefsels, wat voor neveneffecten kan zorgen.<\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-530143987cf2cc9ad129b3c5c723633d  mhh-mcn-v1-heading mhh-mcn-v1-heading--de36b7afd83495d9594f36b52ce742be\" style=\"color:#0065a0\"><strong>Systemische chemotherapie<\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-7023ec507a76a008198b596eae851a37   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2bef8aa48d0b47749ca375d5002e3050 wp-block-paragraph\" style=\"color:#603c37\">Chemotherapie is een behandeling met cytotoxische medicatie of geneesmiddelen die kankercellen doden en\/of hun groei afremmen. De medicatie wordt door middel van een infuus via de aders toegediend op het dagziekenhuis. Soms is ook ondersteunende medicatie nodig om de bijwerkingen van de behandeling beter te kunnen opvangen.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-f6523e56e21e6dc8661cdd3d05a8e9ab   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e39fc610c905489f4d0f45e7e335f455 wp-block-paragraph\" style=\"color:#603c37\">Systemische chemotherapie kan toegediend worden voor of na een cystectomie, of in combinatie met radiotherapie of als een behandeling op zich.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--a4077a596d66663c79e62049e1dd80c5\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-86835\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-49511bb4398e6d85d1cd581ead8695fb  mhh-mcn-v1-heading mhh-mcn-v1-heading--1da57f8a2edafb2a29b1c53f9fa0ea7b\" style=\"color:#0065a0\"><strong>Gerichte therapie<sup>9,13-15<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-640a801ff38440085f62fd7b42b64f86   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--5036ac47e6b9f2211f77abf5f3531f2c wp-block-paragraph\" style=\"color:#603c37\">Gerichte therapie is een behandeling die zich specifiek richt op bepaalde eigenschappen van kankercellen en heeft daarom soms minder effecten op de omliggende gezonde weefsels.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--add6c918394e81798bb050331b43a161 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--c81b3a00bacb07dea646d2bed4912101 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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d1f71d8716204debde8d7df04ba09909  mhh-mcn-v1-heading mhh-mcn-v1-heading--55d563611dc96be98e517ccf82dc5ee9\" style=\"color:#0065a0\"><strong>Blokkers van tumorfouten<sup>9,14<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-e786bc1014192a95d2b3098c77fa6e0e   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--857f8ad5a1551e423b2b01b3761be8ec wp-block-paragraph\" style=\"color:#603c37\">Heel wat van de doelgerichte behandelingen vallen specifieke \u2018tumorfouten\u2019 aan. Deze fouten treden op tijdens de ontwikkeling van de kanker en kunnen ervoor zorgen dat de kankercellen blijven groeien en delen. Doelgerichte therapie kan deze processen remmen. Bij blaaskanker is er bijvoorbeeld een geneesmiddel dat enkel werkt als de kankercel een bepaalde verandering heeft in een eiwit dat FGFR (fibroblast growth factor receptor) heet. Niet alle blaaskankers hebben deze specifieke verandering, daarom zal je arts eerst een test doen om te kijken of jouw kankercellen deze verandering hebben en of je dus in aanmerking komt voor deze behandeling.<\/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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3df5bceebcbb4c0585e48c9764b50ec2  mhh-mcn-v1-heading mhh-mcn-v1-heading--f10fa2c92cfd980ae1fec7c37b4d6aa1\" style=\"color:#0065a0\"><strong>Antilichaam-geneesmiddel conjugaten<sup>9,15<\/sup><\/strong><\/h5>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-0162ec12c514f55200e3468b8a228559   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--26c46162e8bdd2a1b1274ab8c0b3f724 wp-block-paragraph\" style=\"color:#603c37\">Antibody drug conjugates (ADCs), vrij vertaald naar antilichaam-geneesmiddel conjugaten, zijn samengestelde geneesmiddelen. Ze bestaan uit een antilichaam dat gekoppeld is aan een celdodend middel. Het antilichaam geeft doelgerichtheid aan het geneesmiddel, het bindt zich aan welbepaalde eiwitten op de buitenkant van kankercellen. Zo komt het celdodende middel precies op de juiste plek terecht: de kankercel zelf. Daar kan het zijn werk doen en de cel vernietigen, terwijl gezonde cellen zoveel mogelijk worden gespaard. Een voorbeeld van zo\u2019n gerichte therapie bij blaaskanker is een geneesmiddel dat zich richt op het eiwit Nectin-4, dat zich bevindt op de buitenkant van blaaskankercellen en levert zo de chemotherapie gericht af aan de kankercellen.<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--aafcbceed618a5e10fc0f87a11bddb63 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--5cb2f118ed80e0dfe8eb4c1acd4cf83b mhh-mcn-v1-image--align-items-center\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--large wp-image-86839\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/bladder-gerichte-therapie-nl-e1786014334719.png?w=352&#038;quality=80&#038;lossy=1\"\n        width=\"352\"\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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-1669fb2b59ec31943608c2b0a18e05ac  mhh-mcn-v1-heading mhh-mcn-v1-heading--80cb57c8fe905c2e3fefdf1807909792\" style=\"color:#0065a0\"><strong><strong>Immunotherapie<\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-97ec1b0f4056cc64486027b614e1eba7 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--068e87edcb1b6585047f1a6074d4a8b6 wp-block-paragraph\" style=\"color:#603c37\">Deze therapie stimuleert het immuunsysteem om de kankercellen beter te herkennen en aan te vallen. Dit type therapie wordt uitgebreider besproken in de pagina over <a href=\"https:\/\/www.msdconnect.be\/nl\/therapeutic-areas\/immunotherapie-voor-de-behandeling-van-urologische-kankers\/immunotherapie\/\">Immunotherapie<\/a>.<\/p>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--5f61d31e8a382c98b6daf01276eadc47 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--1622e6a86c119e74fe0e8215aa9af760 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--c6cdb1758040b7bb984e35aee75102ab\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-86351\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/immunotherapie-2-e1782767370500.png?quality=80&#038;lossy=1\"\n        width=\"900\"\n        height=\"578\"\n        loading=\"lazy\"        alt=\"Immunotherapie\"\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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-63586806e34fbcdb13a4351358c68977  mhh-mcn-v1-heading mhh-mcn-v1-heading--41d081762d2e8841348bf37593693a18\" style=\"color:#0065a0\"><strong><strong>Combinatie van 2 systemische behandelingen<sup>16-18<\/sup><\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-9e90a0592c2776f37b45ef9227af425e   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f892a92a4341a7e61d249c4690d38d73 wp-block-paragraph\" style=\"color:#603c37\">Uit recent onderzoek blijkt dat het voordelig is om Immunotherapie te combineren met een antilichaam-geneesmiddel conjugaat (en in bepaalde gevallen ook met chemotherapie).<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-bbcb90f8bd1397f5c3662ddec66315f8   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b0e3fcc31390d1b87dd2cd5a0ae82575 wp-block-paragraph\" style=\"color:#603c37\">Deze combinatie laat toe om de kankercellen van 2 kanten aan te vallen: rechtstreeks door het antilichaam-geneesmiddel conjugaat (of de chemotherapie) en onrechtstreeks door het eigen immuunsysteem te activeren om mee te vechten tegen de kanker.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-3faeb8f99bf6092968b5c88efe4ade29  mhh-mcn-v1-heading mhh-mcn-v1-heading--50ba6ead7856d1d881d11eccf46e78d2\" style=\"color:#812990\"><strong>4. Combinatie van Cystectomie met een systemische behandeling<sup>9,19-20<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-82ab3e5639f4b8cbd73cd811c9c87aa6   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--28e0d8a1f54e0cbfb9c0aa849f1207b8 wp-block-paragraph\" style=\"color:#603c37\">Systemische therapie kan voor en\/of na een lokale therapie toegediend worden.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-4b3caacb36cfce40fc11f82bee058d68   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b20f5c0388c7b68209c4bc30d0d4e3e2 wp-block-paragraph\" style=\"color:#603c37\">Toediening van een systemische therapie voor de operatie heeft tot doel om de tumor te doen krimpen en het verwijderen gemakkelijker te maken. Hiernaast kan een systemische therapie voor de operatie, maar ook na de operatie de tumorcellen die reeds ontsnapt zijn uit de blaas vernietigen en zo het risico op herval verkleinen.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-082588c12b562223319b27d12bac8416   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--e785c3839c86d697f32cd058a68612ea wp-block-paragraph\" style=\"color:#603c37\">Inderdaad, bij sommige pati\u00ebnten ziet het multidisciplinair team op de CT-scan enkel een tumor in de blaas, maar zijn er toch reeds enkele kankercellen ontsnapt uit de blaas naar andere plaatsen van het lichaam, zoals bijvoorbeeld in het bloed of de lymfeklieren. Dit komt omdat de kankercellen microscopisch klein zijn en zelfs de CT-scan niet tot op dit niveau van detail in de weefsels kan kijken. Het is pas wanneer de kankercellen zich verder vermenigvuldigen en er zich een groepje kankercellen vormt dat ze op de CT-beeldvorming zichtbaar worden. Het verwijderen of vernietigen van deze ontsnapte kankercellen is belangrijk, aangezien deze op termijn kunnen uitgroeien tot een uitzaaiing en voor herval zorgen.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-55680ab39133a08dbff033456ea333d0   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b4d9a70d405573b987f23e24963d026b wp-block-paragraph\" style=\"color:#603c37\">Uw arts zal aan de hand van de kenmerken van uw kanker en microscopisch onderzoek van het tumorweefsel inschatten hoe groot de kans is dat kankercellen uit de blaas zijn ontsnapt.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--33615c46eba1d319208d7b4eff22067e\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-86856\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/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=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d5ce08b1a5ac1ae31a8b2e4411317cd4  mhh-mcn-v1-heading mhh-mcn-v1-heading--8d371227a09ed90dd8a691f02cc45fbf\" style=\"color:#812990\"><strong>5. Klinisch-wetenschappelijk onderzoek<sup>9<\/sup><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-4941c7cdf0e8e51b438c084299e21da5   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c650bffea7cbc4a21ab3b84b099452d5 wp-block-paragraph\" style=\"color:#603c37\">Elke dag zijn onderzoekers in de weer om blaaskanker beter te begrijpen. Dit laat toe om nieuwe therapie\u00ebn te ontwikkelen.<\/p>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-2e73e482351f6dbded89efa404702016   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--556144c679eabf312d9b5a3dcc53f476 wp-block-paragraph\" style=\"color:#603c37\">Klinische studies zijn de enige manier waarop onderzoekers kunnen nagaan of een nieuwe behandeling, zoals een nieuw geneesmiddel, veilig en werkzaam is bij de mens.<\/p>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--54017ee79a87da01c1decd8621ebc613 mhh-mcn-v1-image--align-items-start\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--medium wp-image-86857\"\n        src=\"https:\/\/www.msdconnect.be\/nl\/wp-content\/uploads\/sites\/34\/2026\/03\/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=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-5d28daf4288c64f77e294e0a8ebf38a5 mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b97003692b76f2955ad7dca20dbbfbc8 wp-block-paragraph\" style=\"color:#603c37\"><a href=\"#overzicht\">Terug naar overzicht<\/a>\u00a0&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=\"nl-BE\" class=\"wp-block-heading has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-f8dd5c142226b5f19213c2e70274c7ea  mhh-mcn-v1-heading mhh-mcn-v1-heading--a71023bcd19c67ffdc0cecbb9dea7a95\" style=\"color:#603c37\"><strong><strong>Aanvullende informatie<\/strong><\/strong><\/h4>\n\n\n\n<p dir=\"ltr\" lang=\"nl-BE\" class=\"has-border-color has-has-red-border-color-border-color has-text-color has-link-color wp-elements-d183f15362da1d8ea0392ee67e7096e2   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--71c80a0ef8c86046ea350359dc8e65b9 wp-block-paragraph\" style=\"color:#603c37\">Wil je graag meer weten over de behandeling van blaaskanker? Bezoek dan zeker de volgende websites:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v2-clist mhh-mcn-v2-clist--485830f79c176b3453d2a7a6204eae0d mhh-mcn-list mhh-mcn-v2-clist--unordered mhh-mcn-v2-clist--unordered-dot\" dir=\"ltr\" lang=\"nl-BE\" start=\"1\">\n    \n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    De stichting tegen kanker: <a href=\"https:\/\/kanker.be\/resource\/immunotherapie\/\">https:\/\/kanker.be\/resource\/immunotherapie\/<\/a>    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kom op tegen kanker: <a href=\"https:\/\/www.allesoverkanker.be\/blaaskanker\">www.allesoverkanker.be\/blaaskanker<\/a>    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kanker.nl: <a href=\"https:\/\/www.kanker.nl\/kankersoorten\/blaaskanker\">www.kanker.nl\/kankersoorten\/blaaskanker<\/a>    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Meer informatie over klinische studies die lopen in Belgi\u00eb: <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--a1cece28297a07193825c32eef0e3cfa mhh-mcn-v1-accordion--default\" data-configuration=\"{&quot;variation&quot;:&quot;default&quot;,&quot;speed&quot;:0,&quot;hasFirstItemExpanded&quot;:false}\"    dir=\"ltr\"    lang=\"nl-BE\">\n    \n\n<section\n    id=\"accordion-6add8bb814714\"\n    class=\"mhh-mcn-v1-accordion-molecule mhh-mcn-v1-accordion-molecule--d12eee4ad03c85e95805ae3db46bb7cf mhh-mcn-v1-accordion-molecule--closed\"\n            >\n    <h4\n        id=\"accordion-6add8bb814714-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-6add8bb814714-content\"\n        >\n                        <span class=\"mhh-mcn-v1-accordion-molecule-header__title\">\n                Referenties            <\/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\/nl\/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-6add8bb814714-content\"\n        class=\"mhh-mcn-v1-accordion-molecule-content\"\n        role=\"region\"\n        aria-labelledby=\"accordion-6add8bb814714-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--7531967dd0d85bf43b0ae443e30cfc79 mhh-mcn-list mhh-mcn-v2-clist--ordered mhh-mcn-v2-clist--ordered-decimal\" dir=\"ltr\" lang=\"nl-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 (laatst geraadpleegd op 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK). The Urinary Tract &amp; How It Works. The Urinary Tract &amp; How It Works &#8211; NIDDK (laatst geraadpleegd op 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 (laatst geraadpleegd op 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&#8217;est-ce que le cancer ? | World Cancer Day (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 differentiation 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    The Cancer Council. Understanding targeted therapy. Understanding Targeted Therapy (laatst geraadpleegd op 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kom op tegen Kanker. Doelgerichte therapie. Doelgerichte therapie | Kom op tegen Kanker (laatst geraadpleegd op 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Fu, Z., Li, S., Han, S. et al. Antibody drug conjugate: the \u201cbiological missile\u201d for targeted cancer therapy. Sig Transduct Target Ther 7, 93 (2022).    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Powles T, et al. NEJM. Enfortumab Vedotin and Pembrolizumab in Untreated Advanced Urothelial Cancer. 2024;390:875-888.    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Van der Heijden MS, et al. Nivolumab plus Gemcitabine-Cisplatin in Advanced Urothelial Carcinoma. 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 (laatst geraadpleegd op 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 effects and their management <a href=\"https:\/\/www.esmo.org\/for-patients\/patient-guides\/patient-guide-on-immunotherapy-related-side-effects-and-their-management\">https:\/\/www.esmo.org\/for-patients\/patient-guides\/patient-guide-on-immunotherapy-related-side-effects-and-their-management<\/a> (laatst geraadpleegd op 08\/2026)    <\/li>\n\n\n<li class=\"mhh-mcn-list-item mhh-mcn-v2-list-item\">\n    Kanker.nl. Bijwerkingen van immunotherapie. Bijwerkingen van immunotherapie | Kanker.nl (laatst geraadpleegd op 08\/2026)    <\/li>\n\n<\/ol>\n\n        <\/div>\n    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