Urothelial cancers: ureter, renal pelvis, and bladder.
OBJECTIVES
To review the diagnosis, treatment, and nursing management of patients with urothelial cancers.


DATA SOURCES
PubMed, Ovid MEDLINE, Text books, and clinical experience.


CONCLUSION
Progress is being made in the surgical and systemic management of urothelial cancers, and the oncology nurse is in a position to make an impact on patient education and overall quality of life.


IMPLICATIONS FOR NURSING PRACTICE
Nursing care begins at pre-diagnostic testing and continues through treatment for metastatic disease. Nurses must be knowledgeable about diagnostic tests, treatment options, and the quality-of-life implications of associated surgeries and/or treatments to support and guide patients. Education should be comprehensive, addressing not only treatment side effects but also long-term implications on patients' lives and lifestyles.