For the 2024 MIBC Guidelines new and relevant evidence was identified, collated and appraised through a structured assessment of the literature for all sections of the Guidelines. Key changes include:
- new updates to the guidelines and evidence in section 5.2 on the magnetic resonance imaging for local staging of MIBC;
- new text and evidence updates in section 7.2.3 on local therapy (surgery or radiotherpy) in oligometastatic disease;
- new text and evidence updates in section 7.3.4.2 on therapeutic value of lymphadenectomy, and section 7.3.5 on robotic-assisted laparoscopic cystectomy;
- new text updates in section 7.5.2 on external beam radiotherapy;
- new text and evidence updates in section 7.5.4 on trimodality bladder-preserving treatment;
- new text, evidence and guidelines updates in section 7.7 on the management of metastatic disease.