23rd January 2024

A 59-year-old male presents to his GP with painless haematuria

A 59-year-old male presents to his GP with painless haematuria. The only other symptom he has experienced is unintentional weight loss of around 10 kg over the past 2 months. He has a past medical history of schistosomiasis and vertigo. There is no significant family history and he neither smokes nor drinks alcohol. No abnormalities are detected on examination. Further investigation reveals an organ-contained locally invasive bladder tumour.

Which of the following is the most appropriate first-line management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.