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GU Cancers 2026 | Reducing sexual dysfunction in female patients with bladder cancer

Armine Smith, MD, Johns Hopkins University School of Medicine, Baltimore, MD, discusses the importance of considering survivorship and quality of life issues in women with bladder cancer, beyond oncological outcomes, highlighting the need for better education and preservation of pelvic organs, including reproductive organs, to improve patient outcomes. Dr Smith emphasizes the complexity of female pelvic surgery and the need for early conversations about intimacy, counseling, and other aspects of survivorship. This interview took place at the 2026 ASCO GU Cancers Symposium in San Francisco, CA.

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Transcript

Pretty much the gist of my talk is that women historically, with bladder cancer, we’ve always focused on their oncological outcomes, not as much on survivorship and other kinds of issues that are pertinent to this disease. What I’m going to be focusing on in my talk is, you know, the anatomy and education around the bladder cancer diagnosis. So, female pelvic surgery is quite complex...

Pretty much the gist of my talk is that women historically, with bladder cancer, we’ve always focused on their oncological outcomes, not as much on survivorship and other kinds of issues that are pertinent to this disease. What I’m going to be focusing on in my talk is, you know, the anatomy and education around the bladder cancer diagnosis. So, female pelvic surgery is quite complex. Neural pathways are a little bit understudied and not really well preserved when we remove bladders. Organ preservation has become more of the kind of talk in urologic oncology. We’re still learning about it. We’re still learning who the proper patients are in whom we would preserve the reproductive organs and how it affects patient survivorship. The second kind of important part of this conversation in my talk will be about the education. We notice a lot of times that just pelvic organ preservation is not alone sufficient to improve survivorship, and normalizing conversations, speaking about intimacy, counseling, and everything that kind of surrounds survivorship should start very early on in the treatment of bladder cancer conversations.

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