contraindication for bcg treatment vs colonoscopy

1 week 2 days ago #61121 by joea73
Below are contraindications of intravesical BCG, listed in a urology book in a library. It does not include colonoscopy.  I actually have had colonoscopy a few times in the past and the doctor got rid of polyps.  I was sedated but not with general anesthesia.  So, as Allan and Jack said, no procedures in colonoscopy I had indicate contraindications for intravesical BCG treatment.  Best

Strong contraindications
Immunosuppressed and immunocompromised patients
Immediately after transurethral resection on the basis of the risk
of intravasation and septic death
Personal history of BCG sepsis
Gross hematuria (intravasation risk)
Traumatic catheterization (intravasation risk)
Total incontinence (patient will not retain agent)

Medium contraindications
Urinary tract infection (intravasation risk)
Liver disease (precludes treatment with isoniazid if sepsis
occurs)
Personal history of tuberculosis (risk theorized but unknown)
Poor overall performance status
Advanced age

Potential contraindications but with no or insufficient data

Patients with prosthetic materials have not been shown to have
increased risk of infectious or other complications in limited
literature (Rosevear et al., 2010)
Ureteral reflux
Anti–tumor necrosis factor medications (theoretically predispose
to BCG sepsis)

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1 week 2 days ago - 1 week 2 days ago #61120 by Jack R
Moses19,

COLONOSCOPY is an examination of the bowels via the rectum and bears little to no relationship to the  bladder cancer drug BCG.

CYSTOSCOPY is the examination of the bladder via the urethra; it is the primary method of monitoring the bladder during treatment for cancer. BCG is used to treat bladder cancer. 

Best
Jack

6/2015 HG Papillary & CIS
3 Years and 30 BCG/BCG+Inf
Tis CIS comes back.
BC clear as of 5/17 !
RCC found in my one & only kidney 10/17
Begin Chemo; Cisplatin and Gemzar
8/18 begin Chemo# 3
Begin year 4 with cis
2/19 Chemo #4
9/19 NED again :)
1/2020 CIS is back
Tried Keytruda, stopped by side effects
Workin on a new plan for 2021

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1 week 3 days ago - 1 week 3 days ago #61111 by Alan
I am not sure I totally understand your question but, will add a few thoughts. If you going to have a colonoscopy, you are probably good to go with BCG as we are talking a digestive system vs urinary tract. At the same time, none of us are doctors so I would definitely have both doctors be in a consult. If you are talking cystectomy (not colonoscopy), you need to know the grade and stage of any tumor to decide what to do..

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
The following user(s) said Thank You: moses19

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1 week 3 days ago #61109 by moses19
is there a contraindication for treatment (BCG) vs a colonoscopy?

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