Urothelial cancers: ureter, renal pelvis, and bladder.

Objectives: To review the diagnosis, treatment, and nursing management of patients with urothelial cancers.

Data Sources: PubMed, Ovid MEDLINE, Text books, and clinical experience.

Conclusion: Progress is being made in the surgical and systemic management of urothelial cancers, and the oncology nurse is in a position to make an impact on patient education and overall quality of life.

Implications For Nursing Practice: Nursing care begins at pre-diagnostic testing and continues through treatment for metastatic disease. Nurses must be knowledgeable about diagnostic tests, treatment options, and the quality-of-life implications of associated surgeries and/or treatments to support and guide patients. Education should be comprehensive, addressing not only treatment side effects but also long-term implications on patients' lives and lifestyles.