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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


 What next?

  • 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!


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Copyright 2019 Dr. Jo Schoeman