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BCG efficacy in managing CIS

2 years 11 months ago #50327 by doug d
It's not that bad, really. Yeah, a little painful and inconvenient. But if it means my white blood cells are kicking ass in there, then I say, that's a small price to pay. I really want to keep my bladder. I've grown quite attached to it over the years.

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2 years 11 months ago #50326 by jeffrx
Hang in there Doug. The article Sara posted was very informative. BCG sounds like a pain in the butt to receive, but it seems to work well in most patients. I laughed about your "peeing hamburger" remark.

12/2015 - TURBT, non-invasive T1, mixed grade, 3 tumors
1/2016 - Begin BCG weekly for 6 weeks

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2 years 11 months ago #50317 by doug d
I had six weeks, followed by biopsy, followed by another six weeks, of which, I've completed three so far.

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2 years 11 months ago #50316 by sara.anne
Well, one way to look at it is that BCG has stirred up something! Let's assume it is your immune system, as advertised.

Seriously, BCG is the treatment of choice for CIS. And yes, your immune system has become sensitized to it. It is not unusual for the first few instillations to be relatively benign, and then for the side effects to increase as the treatments continue.

Did you have only a six week series or did you also have maintenance doses of BCG. Studies have shown that the six weeks and then a series of maintenance doses greatly increase the effectiveness of BCG.

If the side effects become too uncomfortable, your urologist can decrease the dose significantly, Even at 1/10the the original dose BCG can still be effective. By the time I finished my two year maintenance series, I was down to 1/3 the initial dose and this is not uncommon, You may want to ask your doctor about this.

Here is an interesting summary of information on BCG by Dr. Lamm, one of the experts in the field.

http://www.bcgoncology.com/treatment/bcg.html

Good luck to you

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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2 years 11 months ago #50315 by doug d
I'm a 50-year-old man with stage 1 bladder cancer, including CIS. Had TURB to remove several small tumors, followed by six weeks of BCG (with little to no side effects until treatment 6). Had a reoccurrence, so six more weeks of BCG. Just finished treatment number three. Wow, the second time around is totally different. Big-time inflammatory reaction. Feeling the need to pee constantly, lots and lots of blood, tissue particles being discharged when I urinate. (I tell friends it's like 'peeing hamburger'.) I feel like doing a touchdown dance whenever I pass one of these babies. Is this normal? I assume this means it's working. So, is it?...

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