Usually, by the time bladder cancer is diagnosed, the cancer has metastasized and treatments will not be effective. Many times, because of the location of the tumor in the bladder, it is virtually impossible to surgically remove them. There have been some cases where the entire bladder has had to be removed.
Radiation therapy may be used to try and shrink tumors within the bladder. Radiation therapy does have many adverse effects including inflammation of the bladder, incontinence and difficulty urinating.
Chemotherapy may also be used. Your veterinarian will probably administer cisplatin with piroxicam. This combination of chemotherapy medications has had a good percentage of dogs going into remission. However, chemotherapy may cause renal toxicity.
Supportive care will also be necessary for your dog while they are undergoing treatments for bladder cancer. Your dog will be at a higher risk of developing secondary bacterial infections. Urine cultures should be regularly performed to ensure that your dog has not developed a bacterial infection. Catheterization may be required if your dog is unable to freely pass urine out of their bladder. Antibiotics and anti-inflammatory medications may also be needed.