Urinary-Based Markers for Bladder Cancer Detection

  • Tilman Todenhöfer Studienpraxis Urologie
  • Michele Lodde 3Centre Hospitalier Universitaire de Québec Research Centre, Laval University, Quebec, Canada
  • Kim van Kessel
  • Renate Pichler Department of Urology, Medical University Innsbruck, Austria
  • Antonia Vlahou Biomedical Research Foundation, Academy of Athens, Greece
  • Yair Lotan 7Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA
Keywords: urine, biomarkers, surveillance, screening, hematuria, urothelial carcinoma, next generation sequencing


Background The use of urine markers for diagnosis and surveillance has been a topic of broad interest and ongoing controversies in the management of patients with bladder cancer. There has been a constant quest for markers that demonstrate clinical utility.

Aim In the framework of the International Consultation on Urological Diseases 2019 on Molecular Biomarkers in Urologic Oncology, a comprehensive review of literature on urinary biomarkers for bladder cancer has been performed.

Results Currently available urinary markers include protein-based markers, RNA-based markers, and DNA-based markers. The introduction of high-throughput analysis technologies provides the opportunity to assess multiple parameters within a short period of time, which is of interest for RNA-based, DNA-based, and protein-based marker systems. A comprehensive analysis of molecular alterations in urine samples of bladder cancer patients may be of interest not only for diagnosis and surveillance but also for non-invasive longitudinal assessment of molecular, potentially therapy-relevant, alterations. However, most systems lack prospective validation within well-designed trials and have not been broadly implemented in daily clinical practice.

Conclusions Because of limited data from prospective trials, the routine use of any urine marker except cytology is not considered as standard of care in international guidelines. There is an urgent need for prospective trials of urine markers to answer specific clinical questions.

How to Cite
Todenhöfer, T., Lodde, M., van Kessel, K., Pichler, R., Vlahou, A., & Lotan, Y. (2020). Urinary-Based Markers for Bladder Cancer Detection. Société Internationale d’Urologie Journal, 1(1), 49-61. Retrieved from https://siuj.org/index.php/siuj/article/view/54
Molecular Biomarkers in Urologic Oncology