Treatment FAQ

why can't i have a bcg treatment if i have blood in my urine?

by Rigoberto Heaney Published 3 years ago Updated 2 years ago

You should not receive BCG if you have tuberculosis, a fever, a bladder infection, blood in your urine, or a weak immune system (caused by disease or by using certain medicines). You should also not receive BCG if you have had a bladder biopsy, surgery, or catheter within the past 14 days.

Full Answer

Is bleeding normal after a BCG treatment?

Jun 29, 2017 · Blood and tissue in your urine even weeks after your BCG treatment is very normal. The BCG stimulates your immune reaction in the bladder. That causes inflammation and bleeding. If it continues make sure that you tell your urologist. Hal Share Sharing discussion reply Blood in urine after BCG treatment Charlotte40 Share outside of Inspire

What causes blood in urine after antibiotics?

May 06, 2020 · You should not receive BCG if you have tuberculosis, a fever, a bladder infection, blood in your urine, or a weak immune system (caused by disease or by using certain medicines). You should also not receive BCG if you have had a bladder biopsy, surgery, or catheter within the past 14 days.

Is it normal to pee blood with an uti?

Feb 06, 2019 · BCG immunotherapy can cause a number of side effects. It is common for people to experience flu-like symptoms, such as chills, fever, and fatigue, for 2–3 days following the treatment. Other common...

How long does blood stay in your urine?

Cellular immunologic reactions occurring in the bladder after intravesical treatment with bacillus Calmette-Guérin (BCG) were investigated by flow cytofluorometric analysis of leukocytes present in the urine. Urine specimens from 11 superficial bladder cancer patients were collected before and 5, 24, 48 and 72 h after repeated BCG instillations.

Does BCG cause blood in urine?

Treatment with BCG can cause a wide range of symptoms. It's common to have flu-like symptoms, such as fever, achiness, chills, and fatigue. These can last for 2 to 3 days after treatment. It also commonly causes a burning feeling in the bladder, the need to urinate often, and even blood in the urine.Jan 30, 2019

Can BCG treatment damage the bladder?

As a result of the intended immune stimulation and cytokine production, minor symptoms following BCG administration are common and usually manageable. These adverse effects include fever, malaise, and bladder irritation (urination frequency, dysuria, or mild hematuria).Dec 7, 2018

Can you get a UTI from BCG treatment?

They found that the risk of UTI is equal in patients who are screened and who are not screened for ABU and reaches 3% in both groups after BCG instillations. The urine culture was positive in 18% of cases in the screening group and its positive predictive value for UTI was 0.9%.Jun 10, 2017

What are the chances of bladder cancer returning after BCG treatment?

“Initially, it's effective,” says medical oncologist Noah Hahn, M.D. However, adds urologist Max Kates, M.D., “while up to 35 percent of patients have long-term, sustained remissions with intravesical BCG, as many as 60 percent of patients will have a recurrence of cancer within two years.Nov 2, 2020

What happens if BCG treatments don't work?

BCG failure usually carries a risk of recurrence but rarely of progression. For low-grade failure, intravesical chemotherapy is a valid option. This scenario is different from that where BCG intravesical therapy is unsuccessful in high-risk T1 disease and/or CIS, where a risk of progression may sometimes reach 50%.

How long does BCG stay in your bladder?

BCG is given directly into the bladder (called intravesicular) through a catheter. The medicine is left in the bladder for 1-2 hours. The dosage and schedule is determined by your healthcare provider. It is not uncommon to have urinary frequency (need to go often) or painful urination for 48 hours after treatment.

Do BCG side effects get worse with each treatment?

The irritative reactions usually are seen following the third instillation and tend to increase in severity after each administration. There is no evidence that dose reduction or antituberculous drug therapy can prevent or lessen the irritative symptoms of TheraCys.

Can BCG cause interstitial cystitis?

Common local side effects are generally seen during induction and during the first 6 months of BCG maintenance. BCG-related cystitis is frequent and unavoidable. Furthermore, repeated BCG instillation increases the incidence and severity of irritative bladder symptoms.

Is BCG a form of chemotherapy?

Is BCG treatment a form of chemotherapy? No. Although intravesical immunotherapy and intravesical chemotherapy are given the same way, these two treatments use different types of drugs. While chemotherapy drugs attack cancer cells directly, immunotherapy drugs harness the power of your immune system.Mar 1, 2022

How many times can you have BCG treatments?

Maintenance BCG is typically given once per week for three weeks at 3, 6, and 12 months after the initial BCG treatment. In some cases, maintenance BCG treatment will be recommended for one year for those at intermediate risk of recurrence and for three years for those at higher risk for recurrence.Sep 24, 2021

When does BCG treatment fail?

In the European Association of Urology (EAU) guidelines on NMIBC, treatment with BCG is considered to have failed in the following situations: 1) whenever a muscle-invasive tumor is detected during follow-up, 2) if a high-grade, non-muscle-invasive tumor is present at both 3 and 6 months, or 3) any “worsening” of the ...

How long after BCG do you drink fluids?

Your doctor may ask you to drink extra fluids for several hours after your BCG treatment to help flush out your bladder. Follow all instructions. Call your doctor right away if you have a fever after receiving BCG, especially if the fever lasts for several hours or longer.

What are the side effects of a syringe?

Common side effects may include: increased urination; painful urination; fever; or. flu symptoms. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How long does it take for a syringe to go away?

Tell your doctor right away if these side effects last for longer than 2 or 3 days. Common side effects may include:

Can you get BCG if you have a bladder biopsy?

You should also not receive BCG if you have had a bladder biopsy, surgery, or catheter within the past 14 days. Serious and sometimes fatal infections may occur during treatment with BCG. Call your doctor right away if you have signs of infection (fever, chills, body aches).

How long do you have to hold your urine for BCG?

During the treatment, a person will need to hold their urine for around 2 hours. After this, the healthcare professional will ask the individual to empty their bladder. The BCG drug contains live bacteria that a person can pass to other people.

How to keep liquid in bladder?

The healthcare professional will then either cap or remove the catheter to keep the liquid inside the bladder for a period of time. They may then ask the person to lay on their back and rotate from side to side. This movement helps the liquid reach all parts of the bladder.

What is the treatment for bladder cancer?

Bacillus Calmette–Guerin is a form of immunotherapy that doctors can use to treat some forms of bladder cancer. Following surgery to remove the cancer, this treatment can help prevent the cancer from returning.

How long can you live with stage 1 bladder cancer?

as likely as people without it to live for at least 5 years following diagnosis. Doctors typically use BCG immunotherapy to treat stage 0 and stage 1 bladder cancer. The 5-year relative survival rate for people with stage 0 bladder cancer is 95.4 percent. Trusted Source.

How long do you have to hold your urine before you empty your bladder?

A person will then need to hold their urine for 2 hours before emptying their bladder. BCG is a type of bacterium. For several hours following the procedure, a person will need to take precautions when urinating to prevent passing the bacterium to other people.

What is a catheter in a urethra?

A catheter is a flexible tube that professionals can pass through the urethra into the bladder. This method of delivery allows the drug to come into direct contact with the cancer cells in the bladder. This causes the immune system to target them and not other parts of the body.

Can you drink caffeine after BCG?

They may ask the individual not to drink fluids for several hours before the procedure. They might also recommend that the person avoids consuming caffeine immediately after having BCG immunotherapy .

How long does a BCG stay in the bladder?

Any urine remaining in the bladder will be drained and then a BCG solution will be inserted into the bladder next to the tumor and should remain for two hours. The catheter is normally removed after the BCG is placed into the bladder, and patients can get up and walk around during the waiting time.

How long does it take to get a BCG removed?

1,2 It is generally not considered a painful procedure, though some may find it uncomfortable. Any urine remaining in the bladder will be drained and then a BCG solution will be inserted into the bladder next to the tumor and should remain for two hours. The catheter is normally removed after the BCG is placed into the bladder, and patients can get up and walk around during the waiting time. If the catheter is not removed for some reason, it is clamped to keep the BCG in the bladder. Patients are asked not to urinate for the two hours waiting time. Most people can travel independently to the doctor for the procedure, but it may be helpful to have another person accompany you to help pass the time.

Can you drink fluids after a BCG?

After the BCG is drained from the bladder, patients can resume drinking fluids normally. Because BCG is a live vaccine, there are some important safety measures to keep in mind that your doctor can explain.

Can you use bleach in a shared bathroom?

If you are using a shared bathroom, you should make sure that no one uses the toilet directly after you until the bleach can take effect. It’s important to be mindful of small children and make sure you communicate with the members of your household about your treatment.

Can you urinate after a BCG catheter is removed?

If the catheter is not removed for some reason, it is clamped to keep the BCG in the bladder. Patients are asked not to urinate for the two hours waiting time. Most people can travel independently to the doctor for the procedure, but it may be helpful to have another person accompany you to help pass the time.

In Summary

Commonly reported side effects of bcg include: urinary tract infection, detrusor hyperreflexia of bladder, fever, hematuria, urinary frequency, urinary urgency, vomiting, chills, and malaise. Other side effects include: arthralgia. See below for a comprehensive list of adverse effects.

For the Consumer

Bacillus of Calmette and Guérin (BCG) infections have been reported in health care workers and in patients because of exposure to the vaccine during preparation and administration. Serious and fatal disseminated BCG infections have occurred with intravesical administration.

For Healthcare Professionals

Applies to bcg: intravesical powder for reconstitution, percutaneous powder for injection

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

aftereffects of BCG bladder treatment

Just trying to see if anyone else has had the same experience. Recently finished my second 'maintenance' treatment after being passed 'clear' following the main 6 treatments. So really good news but the aftereffects (if thats what they are?) seem to be lasting much longer than previously.

aftereffects of BCG bladder treatment

hello Dave, so you have , completed 9 BCG treatments, yes i would agree , the side effects do increase, i have just completed my twelvth . I found that the first 6 were ok ish but ,were feeling just a little more aggresive by number 6.

aftereffects of BCG bladder treatment

Hi James Thanks for that. l am beginning to realise that l may be getting off quite lightly having spoken to my BCG team. Things have improved a bit and l am hoping that l may have only one more maintenance treatment to come. You are absolutely correct about diet and keeping reasonably fit it really does help.

aftereffects of BCG bladder treatment

I have just seen this as had not visited Cancer Research previously & found the comments & experiences of great interest.

aftereffects of BCG bladder treatment

Hi. My first post. I have just had my cystoscopy following my 12th BCG treatment. I agree with others that the first 6 are a breeze, the second 3 more painfull, and the last 3 very painfull and drawn out. I asked for an extra weeks break between 11 and 12 to recover.

aftereffects of BCG bladder treatment

Hello dickie - I just had my 10th dose of BCG 4 days ago & no problems so far re. side effects. That is quite a relief after the last time, but as I have 2 more doses to go I will wait & see with fingers crossed. Apparently, according to my consultant & keyworker these effects vary greatly from person to person & also in severity.

aftereffects of BCG bladder treatment

Nice to hear you guys are going strong , I have not posted for a while.

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