BCG maintenance or periodic cystoscopy?
This is an update on my issues with BCG maintenance. My original diagnosis with a single small (2 cm) high grade NMIBC was successfully treated with Turbt and six BCG treatments. Cystoscopy showed no new growths and biopsies showed no CIS. My Urologist urged BCG maintenance to decrease the chance of a recurrence and I agreed to the 3, 6 and 12 month maintenance program. Unfortunately I had become very sensitive to the treatments toward the end of the first six and the maintenance program increased my sensitivity to the point that the side effects had become extremely difficult and more so after each instillation. Flu like symptoms, urgency, burning, abdominal pain, bleeding, nausea, fatigue, etc., lasting several days. Cystoscopy after the three month treatment showed NED and after discussion I'm thinking to stop the maintenance program and instead opt for cystoscopy at three months, then every six months. What do you think? Right choice or should I reconsider the BCG maintenance program?
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I had my maintenance BCG followed by a scope. He found one suspicious spot. Now I'll have surgery to remove it. I would stay with the treatments if I were you.
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1 ReactionOnce my every 3 month cystoscopy showed no tumors, my BCG treatments were stopped. I have not had a recurrence of tumors following a 6 month, then 1 year, now another year (upcoming in November) cystoscopies. I recognize that everyone is different. But if you are continuing to monitor with cystoscopies, and given your side effects, I understand why you woild consider stopping for now. I hope and pray that whatever process you choose keeps you NED.
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1 Reaction@wifey9
Here’s a recap of where I am now in this adventure.
At 79 years old I was initially diagnosed with a single high grade NMIBC which was removed via TURBT and followed by BCG treatments. One month after surgery I began a six weekly instillation of 50% BCG. Initially no side effects except temporary burning and urgency but by treatment four I was getting flu like symptoms ( body aches, headaches, nausea, fatigue etc) which lasted for 24 hrs. Regardless I finished the six treatments and three months later had three more again with progressively worse side effects, often lasting 48 hrs. Six months later I had three more treatments and had a reactive arthritis episode on the last treatment. This was a spontaneous ( within 48 hrs of the last treatment)occurrence of arthritis on my right hand, hip and knee. While my urologist wasn’t convinced it was reactive from the BCG, the rheumatologist I saw was convinced it was. We stopped the BCG treatment program at that time and opted for periodic cystoscopy to evaluate my condition. I’m cancer free at present but my first 6 month evaluation is due in September, so I’m anxious to see if I’m still NED. BCG is the gold standard and I wish I had been able to continue treatment. I’m not sure what options will be available to me if they find tumors at my evaluation. Will keep u all posted.
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1 ReactionI am a 75 yr old female. I had burning when expelling BCG that was remedied with Tylenol and (senior moment ugh) oh yeah pyridium, one dose of each. I was a bit sluggish and a little achy for 24 hours or so, but that was it for me. I did have 2 surgeries and 2 tumor removals in the office followed by 6 BCG, then 3, then 3, and maybe another 3. I've lost track. I will be 2 and 1/2 years NED if I am clear in November. This is not something you forget about for sure. Everytime I urinate I check for blood. There is a relatively high recurrence rate. As long as BCG works for me, I figure it's better than intravenous chemotherapy. Praying there won't be any metastasis if it comes back. I've changed my diet some...no artificial sweetness, more organic foods, limited processed foods, but I'm not as disciplined as I should be about sweets. Keep in touch. Waiting isn't easy.
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