Chemotherapy in a patient with advanced carcinoma of the bladder with renal insufficiency RB Nerli, Shridhar C Ghagane, Abhijit Musale, Sushant Deole, Shyam Mohan, Neeraj S Dixit, Murigendra B Hiremath Journal of the Scientific Society 2018 45(3):139-142 A large proportion of patients with high-risk bladder cancer also have renal insufficiency. These patients are not fit enough to receive cisplatin-based chemotherapy based on impaired renal function. This finding is most strikingly seen in the elderly population. We report a case of an elderly male presenting with advanced carcinoma of the bladder and renal dysfunction.