Introduction: Bladder cancer is the ninth most common malignancy worldwide, with nearly 75% of cases presenting as non-muscle-invasive bladder cancer (NMIBC) (1). Among these, high-risk NMIBC including high-grade Ta (Non-invasive papillary carcinoma), T1 (tumor invades the lamina propria), and CIS (carcinoma in situ) carry a significant risk of rec
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