Paclitaxel Albumin-Stabilized Nanoparticle Formulation After Cisplatin-Based Chemotherapy and Surgery in Treating Patients With High-Risk Bladder Cancer

Inclusion Criteria

• •Histological confirmation of urothelial carcinoma and high risk residual disease after neoadjuvant chemotherapy (NAC) and cystectomy as defined by post-operative pathological pT4 or N1-3 disease, or progressive disease during NAC (NAC include methotrexate, vinblastin, doxorubicin and cisplatin \[MVAC\], dose dense MVAC, gemcitabine cisplatin, or gemcitabine carboplatin); minor histologic variants (\< 50%) are acceptable if urothelial carcinoma is predominant variant
• •Post-operative computed tomography (CT) scan of the chest, abdomen, and pelvis =\< 30 days prior to registration demonstrating no evidence of residual or recurrent malignancy
• •Life expectancy \>= 12 weeks
• •Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2
• •Absolute neutrophil count (ANC) \>= 1500/mm\^3
• •Platelet count \>= 100,000/mm\^3
• •Hemoglobin \>= 9.0 g/dL
• •Total bilirubin =\< 1.5 mg/dL
• •Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 2.5 x ULN
• •Alkaline phosphatase =\< 2.5 x upper limit of normal (ULN)
• •Creatinine =\< 1.5 mg/dL or creatinine clearance \>= 40mL/mon (using Cockcroft-Gault formula)
• •Females of child-bearing potential, defined as a sexually mature woman who (1) has not undergone hysterectomy or bilateral oophorectomy or (2) has not been naturally postmenopausal for at least 24 consecutive months must:
• •* Either commit to true abstinence from heterosexual contact (which must be reviewed on a monthly basis), or agree to use, and be able to comply with, effective contraception without interruption, 28 days prior to starting intraperitoneal (IP) therapy (including dose interruptions), and while on study medication or for a longer period if required by local regulations following the last dose of IP
• •* Negative serum pregnancy test done =\< 7 days prior to registration and agree to ongoing pregnancy testing during the course of the study, and after the end of study therapy; this applies even if the subject practices true abstinence from heterosexual contact
• •Male subjects must practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during those interruptions and for 6 months following IP discontinuation, even if he has undergone a successful vasectomy
• •Patients must have =\< grade 2 pre-existing peripheral neuropathy (per Common Terminology Criteria for Adverse Events \[CTCAE\] v4.0)
• •Ability to complete questionnaire(s), in English, by themselves or with assistance
• •Provide informed written consent
• •Willing to provide blood samples for correlative research purposes