Factors influencing this decision include the grade of the tumor, the presence of carcinoma in situ (CIS), and the number of tumors present. Long-term data indicate that successful BCG therapy can preserve bladder function, allowing patients to avoid more radical procedures like cystectomy.
Key Safety Considerations for Intravesical BCG Therapy
Some patients may experience flu-like symptoms, known as BCG flu, following treatment sessions. Urologists generally reserve this treatment for individuals classified as having intermediate or high risk of recurrence or progression.
Common reactions include urinary frequency, urgency, and dysuria, which resemble a persistent bladder infection. More serious complications, although rare, can include systemic infection or bladder scarring.
Key Safety Considerations for Intravesical BCG Therapy
This immunotherapy involves instilling a live, attenuated strain of the bovine tuberculosis bacterium directly into the bladder via a catheter. While the exact mechanisms are complex, the result is a significant reduction in tumor recurrence rates for patients with high-risk superficial tumors.
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