(UroToday.com) The second Urothelial Cancer session at this year’s European Association of Urology (EAU) Section of Oncological Urology (ESOU) 2021 Virtual Meeting featured a number of presentations, focussing on controversies in the management of urothelial cancers. The fourth and final presentation in this session was from Dr. Nicholas James who discussed a variety of approaches to bladder sparing alternative to radical cystectomy, including trimodal therapy, bimodal therapy, and TURBT alone.