Sima P. Porten, MD, MPH, FACS, Associate Professor of Urology, University of California, San Francisco, San Francisco, California, presents a complex bladder preservation case to a group of experts, and highlights the rising circulating tumor DNA in the absence of radiographic or pathologic recurrence, prompting debate regarding surveillance versus systemic therapy.
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This talk was presented at the International Bladder Cancer Update 2025 Expert Forum held from December 5-7, 2025.