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Article Comparing BCG and Gemcitabine

In one of the articles on this site it says:

“According to the American Urological Association, people with low-risk NMIBC should not receive BCG. Gemcitabine may be given as a single intravesical treatment within 24 hours after surgery if you have low-risk NMIBC. For intermediate-risk, you may benefit from BCG or chemotherapy.3,7”

How would anyone know if the disease was low/intermediate/high risk within 24 hours after TURBT?

Tissue samples likely aren’t even at pathology lab that soon.

  1. @kcm1953 - I agree with not having biopsy results that quickly. I had Mitomycin induced into my bladder immediately following the TURBT. It was a single treatment both times I had a TURBT. Hope this helps out a bit. BTW - I had high grade but did not find that out until after the first TURBT of course. My best to you. Linda Urbanski ( moderator, team member)

    1. I am not aware I had Mytomycin induced in my bladder after my TURBT. I assume the nurse would have mentioned something like that to me in recovery room. I’ll inquire about it when I next talk to my doctor, hopefully this week.

      1. definitely worth asking your medical team for more information. Let us know how you get on. Laura, Moderator,

    2. Talked to nursecand he said my Dr. generally doesn’t do the Mytomicin wash.

      1. @kcm1953 - My doctor told me that I had it done each time after my TURBTs and that it was done as measure. It probably differs between doctors as what their procedures are. Linda Urbanski ( moderator, team member)

      2. Hi. Good you could speak to you doctor. The other option you have is to get a second opinion/seek the services of another doctor. Wishing you well with next steps. Laura, Moderator,

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