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Urology Oncology A

EAU Bladder Cancer Recurrence Risk (EORTC)

EORTC-based risk stratification for non-muscle-invasive bladder cancer (NMIBC) recurrence and progression.

Score interpretation

Low Risk of Recurrence 0–4

EORTC 0–4: Low recurrence risk (~15% at 1 year)

→ Single instillation intravesical mitomycin C within 24h of TURBT; cystoscopy at 3 months, then annually if negative

Intermediate Risk 5–9

EORTC 5–9: Intermediate recurrence risk (~38% at 1 year)

→ Adjuvant intravesical BCG or mitomycin C (6–12 inductions); cystoscopy at 3, 6, 12 months then annually

High Risk 10–17

EORTC ≥10: High recurrence/progression risk

→ BCG induction + 1–3 year maintenance; consider radical cystectomy if T1G3 + CIS; cystoscopy every 3 months for 2 years

Interpretation bands for the Bladder Ca Risk. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.