Why is it done?
- Treatment for localized superficial Urothelial Carcinoma of Bladder and Ureter (T1G3)
How is it done?
- A Local anaesthetic gel is administered as for a Urethral Catheterization procedure
- This is done under a sterile procedure.
- A 14-16 Fr Indwelling Catheter is placed into your bladder.
- The BCG is installed using strict administering criteria
- Usually, 1 vial of BCG is mixed with Saline to a 50cc volume
- The catheter is then removed
- The BCG is required to stay in your bladder for 2 hours.
- Body rotation every 30 minutes allows optimal contact of urothelial Surfaces to the BCG.
- WARNING: Any Fevers require urgent attention
- This will be done every week for 6 weeks
- 6 weeks after this a check Flexible Cystoscopy will be scheduled as part of your surveillance protocol for your Urothelial carcinoma
- A Further 2 Installations will be arranged in the following 3 months as part of a Maintenance Protocol
- This may be repeated.
- Some local discomfort may be experienced.
- Your voiding nature will change within the next week
- You may experience some urinary frequency
- You could develop a fever requiring urgent attention.
- Systemic effects of BCG would be fever
- Delayed effects would a urinary tract infection
- The possibility of Miliary Tuberculosis
- NB! Each person is unique and for this reason, symptoms may vary!
Copyright 2019 Dr. Jo Schoeman