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The relative absence of long\u2010term bladder and bowel function outcome data complicates discussions, particularly given improved survival rates and development of new surgical and radiotherapy techniques. These INSTRuCT guidelines, a collaboration of the Children's Oncology Group, Soft Tissue Sarcoma Committee, European Pediatric Soft Tissue Sarcoma Study Group, and the Cooperative Weichteilsarkom Studiengruppe, reflect international expert consensus and are intended to inform practice, generate discussion, and highlight areas of future inquiry.<\/jats:p>","DOI":"10.1002\/1545-5017.70183","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T10:49:07Z","timestamp":1773398947000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Local Control of Bladder\/Prostate Rhabdomyosarcoma: An Expert Consensus Guideline From the International Soft Tissue Sarcoma Consortium (INSTRuCT)"],"prefix":"10.1002","author":[{"given":"Daniel J.","family":"Indelicato","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology University of Florida College of Medicine  Jacksonville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda F.","family":"Buchanan","sequence":"additional","affiliation":[{"name":"Department of Urology University of Kentucky  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyrus","family":"Chargari","sequence":"additional","affiliation":[{"name":"Gustave Roussy Cancer Campus  Villejuif France"},{"name":"Radiation Oncology Department H\u00f4pital Universitaire Piti\u00e9 Salp\u00eatri\u00e8re, Assistance Publique\u2010H\u00f4pitaux de Paris (AP\u2010HP) Sorbonne Universit\u00e9  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4729-825X","authenticated-orcid":false,"given":"Raquel D\u00e1vila","family":"Fajardo","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University Medical Center  Utrecht the Netherlands"},{"name":"Princess M\u00e1xima Center for Pediatric Oncology  Utrecht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joerg","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Pediatric Urology University Children's Hospital Tuebingen  Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candace F.","family":"Granberg","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e9ne","family":"Martelli","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery H\u00f4pital Universitaire Bic\u00eatre  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niccolo M.","family":"Passoni","sequence":"additional","affiliation":[{"name":"Department of Urology Baylor College of Medicine Texas Children's Hospital  Houston Texas USA"},{"name":"Department of Urology University of Texas Southwestern  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie M.","family":"Perkins","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Washington University  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naima","family":"Smeulders","sequence":"additional","affiliation":[{"name":"Department of Urology Great Ormond Street Hospital for Children NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beate","family":"Timmerman","sequence":"additional","affiliation":[{"name":"Department of Particle Therapy West German Proton Therapy Centre Essen (WPE), West German Cancer Center (WTZ) University Hospital Essen  Essen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan C.","family":"Routh","sequence":"additional","affiliation":[{"name":"Department of Urology Pediatrics, and Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"issue":"12","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"3091","DOI":"10.1200\/JCO.2001.19.12.3091","article-title":"Intergroup Rhabdomyosarcoma Study\u2010IV: Results for Patients With Nonmetastatic Disease","volume":"19","author":"Crist W. 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