van de Kamp M, et al. - The incidence of intravesical recurrences after small cell carcinoma of the bladder (SCCB) and their management were determined. SCCB was noted to be a serious potentially lethal disease. A high percentage, even in patients with limited disease (LD)-SCCB, rapidly developed systemic disease. To control the disease, systemic therapy was more important than the type of local treatment. A reasonable alternative to major surgery could be a bladder-sparing approach. Nonetheless, isolated intravesical recurrence occurred even after many years in those surviving long enough. A long-term follow-up was suggested because salvage therapy could be successful in the majority of patients.