BCG immunotherapy treatments

BCG (Bacillus Calmette-Guerin) immunotherapy utilizes an inactivated form of mycobacterium tuberculosis to increase or restore the body's natural defenses against bladder cancer. The procedure involves instillation of a BCG/saline solution into the bladder via a catheter. The treatment is performed once a week for six weeks.

Pre-procedure instructions

• Drink nothing the four hours immediately preceding the procedure.
• Do not urinate before coming to clinic, as you will be required to give a urine sample in the clinic before your procedure.

Possible treatment interruption

• BCG treatments may not be administered, if blood is visible in the urine or if an active urinary tract infection is present.
• Empty the bladder completely.
• Thoroughly clean the genital area and hands.
• After urination, neutralize the toilet by pouring two cups of household bleach into the water and allowing it to stand 20 minutes before flushing.
• Avoid sex for 48 hours following each treatment.

Concerns that are normal following BCG therapy:

• A small amount of blood in the urine
• Soreness in the urethra for a couple of days
• Burning upon urination for a couple of days

Concerns that should be addressed at once:

• Frequent or persistent coughing
• Flu-like symptoms - chills, fever, joint pain
• Increased fatigue
• Skin rash
• Temperature 100.5 or greater

For additional information, visit the Bladder Cancer Web Cafe