how is bladder cancer treated?
 With stage II bladder cancer (muscle-invasive and localized), surgery is generally the first line of treatment. Radiation is also considered if the tumor has not spread or you cannot have surgery. If you are diagnosed with stage III bladder cancer, surgery and chemotherapy are the primary forms of treatment. Chemotherapy may be suggested before or after surgery, and radiation therapy is used on occasion. Chemotherapy may be suggested in some cases.Treatment for stage IV bladder cancer will generally consist of chemotherapy, clinical trials, or a combination the two. Surgery may be performed to remove the affected lymph nodes or relieve late-stage symptoms of the disease. 