Drug treatment after TURBT surgery
Chemotherapy into the bladder (intravesical chemotherapy)
Liquid chemotherapy drugs are given into a tube called a catheter, which is put into your bladder. This is usually done soon after surgery, while you are in hospital. Once the chemotherapy has been put in, the doctor or nurse will remove the catheter.
You have to try not to pass any urine for the next 2 hours. This gives the chemotherapy drug time to be in contact with the lining of the bladder. You then pass urine naturally to get rid of the drug. Or your nurse may drain the chemotherapy out through a catheter.
The chemotherapy kills any cancer cells on the lining of your bladder to reduce the risk of the cancer coming back. Examples of intravesical chemotherapy drugs include mitomycin-C, epirubicin and doxorubicin.
You may have a single treatment or a course of treatments, depending on the stage and grade of your cancer.
BCG is a vaccine that can help to stop bladder cancers coming back or spreading deeper into the bladder.
The treatment is usually given once a week for 6 weeks, a few weeks after surgery. The drug is given as a liquid, which is passed into the bladder through your urethra.
BCG is usually used for CIS and higher-grade bladder tumours.
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