Non-Muscle Invasive Bladder Cancer (includes Ta, T1, CIS tumors)

Immunotherapy

Intravesical Bacillus Calmette-Guerin (BCG)

To treat non-invasive bladder cancer that has not spread into the bladder muscle wall

• BCG is a type of bacteria that can help to activate the immune system
• The medicine is put directly into the bladder to activate the immune cells there to find and kill the bladder cancer cells

• Often used to treat high-grade (aggressive) tumors that are more likely to spread
• Can be given as the first treatment
• If it works well, it can also be used as a maintenance therapy to slow growth of non-invasive bladder cancer

Liquid medication is put directly into the bladder via a thin tube, called a catheter

• Flu-like symptoms, including mild fever, aches, chills, fatigue
• Burning feeling in the bladder
• Needing to urinate more often
• Blood in the urine

Often given after TURBT procedure, once healed