Rosemary, I found the NCCN Guidelines that you recommended to be very useful. Have earmarked them for future reference.
My uro has scheduled the BCG five and a half weeks after my seond (in three weeks) TURb
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
You know, my TURB was for a Ta tumor, and resulted in very little damage to the bladder (a couple of deep cuts into the the wall and tissue for biopsy. It may be that, in my case, two weeks was enough for that area to heal.
I could see the amount of damage to the bladder being a significant factor in how long they wait to begin BCG treatments. Seems I never stop learning about this stuff. :-\
On both occasions when I had a TURB followed by 6 weeks BCG, the BCG was scheduled 4 weeks after the TURB. These were 7 years apart with two different doctors, but both apparently used a 4-week guideline, and cited the fact that the bladder needed time to fully heal.
PS, while researching for an answer to this question, I came across this very good reference for Bladder Cancer treatment guidlines. This is the NCCN 2008 Practice Guidelines for Bladder Cancer (The NCCN- National Clincial Practice Guidelines in Oncology - some very illustrious Bladder Cancer Specialists are on board this Panel)
When I think back over my own experience with BCG treatment, having to wait 3/12 months for first induction seems a bit long and risky. I think that I should make it clear, however, that in my case I had already had 2 doses of Mitomycin, one with each TURB.
Have a good day,
Age - 55
T1 G3 - Tumor free 2 yrs 3 months
Dx January 2006