Carcinoma In Situ diagnosis

11 months 6 days ago #60166 by joea73
Replied by joea73 on topic Carcinoma In Situ diagnosis
I have noticed that many hospitals are not requiring the rolling anymore according to several patients' comments.

It is likely because the consensus among a medical community stated "when considering other practical issues for BCG administration, the Task Force determined that it is not necessary to rotate patients every 15 min post BCG instillation". See the section What are the most important practical aspects of administration of BCG? www.ncbi.nlm.nih.gov/pmc/articles/PMC5557323/


The detail explanation of why the rotation is not required is mentioned in the paper by Dr. Ashish Kamat of MD Anderson and others. txcercit.org/Files/publications/23540779.pdf

"An interesting practice among some urologists is to have patients lie recumbent during the instillation period and to have them rotate every15 minutes in an attempt to evenly expose the entire bladder surface to BCG. Although well intentioned, this rotisserie method does not seem to have any basis in the scientific literature. The elastic nature of the compliant bladder suggests that it changes size to accommodate the volume of fluid inside. Therefore, unless the instillation was incorrectly done and a large air pocket was introduced in the bladder, serial turning of the patient is not necessary. It is the authors’ practice to have patients lie recumbent for several minutes
after instillation of the BCG and then to allow them to ambulate normally during the 2-hour retention period."

Still, it would not hurt to rotate just in case there is a large air pocket as it could be the case. But, the consensus by urologists says we do not have to worry much on rotating.

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11 months 1 week ago #60164 by sara.anne
Replied by sara.anne on topic Carcinoma In Situ diagnosis
My urologist laughed at the rolling around stuff. Said it was an "old wives' tale" and that just living and breathing was enough to coat the bladder with the BCG.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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11 months 1 week ago #60163 by Clyde
Replied by Clyde on topic Carcinoma In Situ diagnosis
Update: Completed my 4th round of BCG today. Fortunately, I didn't have any issue but a little burning which on lasted a few hours.

My only concern is that I always leave the medical center after the procedure to go to my own bed to roll around and flip sides every 15 minutes. My commute lasts about 30 minutes and I spend the rest of the two hours changing positions. It's more comfortable in my own bed but I'm giving up flipping over during the first 30 minutes. I'm not sure how everyone else does it or if I should just stay in the medical center for 2 hours and flip around. Anyone have an opinion on what is the best way to do this? Am I ok doing it this way?

Thanks!

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11 months 1 week ago #60141 by sara.anne
Replied by sara.anne on topic Carcinoma In Situ diagnosis
I have seen no evidence that any dietary supplements have any effect on bladder cancer. Before you invest in any such, please check with your doctor to be sure that they do not affect the pH or any other factor in the bladder such that they would interferes with your treatments.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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11 months 1 week ago #60140 by Clyde
Replied by Clyde on topic Carcinoma In Situ diagnosis
BCG treatment number 3 completed today. Just some burning for a few hours. No other issues.

I'm now looking into taking some natural supplements as another avenue to get rid of the bladder CIS. I have read that Aged Garlic Extract and broccoli sprouts can be effective. I searched but could find no info on whether these products help or impede BCG. Since they are both natural substances I will probably try them both. Has anyone else tried supplements?

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11 months 3 weeks ago #60128 by sara.anne
Replied by sara.anne on topic Carcinoma In Situ diagnosis
Glad your BCG is going well.

Wouldn’t worry over much about the cytology result. These tests just mean that “something “ should be checked, but they are notorious for giving false positives, indicating cancer when there is none.

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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