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Overview of intravesical therapy: Current Controversies
- 1. Miss Jo Cresswell Consultant Urologist James Cook University Hospital, Middlesbrough Overview of Intravesical Therapy: Current Controversies
- 2. Overview Intravesical, Oct 2010 Intravesical Therapy Single Immediate Instillation Maintenance Chemotherapy BCG Failure T1G3
- 3. Single instillation of MMC: Always appropriate? Single instillation of intravesical chemotherapy Intravesical , Oct 2010
- 21. Definition of failure of BCG: Intolerance – patient intolerant of side-effects BCG resistance- recurrence/persistance of lesser disease, resolves with further BCG BCG Relapsing-recurrence after initial resolution BCG Refractory-not improving or worsening with BCG Failure of intravesical treatment NMIBC, May 2010
- 29. Thank you!
Editor's Notes
- Approx 500 new cases per year
- Approx 500 new cases per year
- Recurrence 31-78% at 5yrs, progression 1-15%
- Herr makes the point that if a recurrence is tiny and low grade can be ablated under LA, not every recurrence requires inpatent TURBT Basically according to Gudjonsson if tumour >3 on EORTC calculator – no benefit (size >3 cm, multiple, G2
- Herr makes the point that if a recurrence is tiny and low grade can be ablated under LA, not every recurrence requires inpatent TURBT
- Approx 500 new cases per year
- Herr et al. If residual T1 on re-TUR 82% progressed over 5 years, cp to 19% without residual disease
- Low grade – 3-22% Put in picture of bladderchek
- Low grade – 3-22% Put in picture of bladderchek
- Low grade – 3-22% Put in picture of bladderchek
- Low grade – 3-22% Put in picture of bladderchek
- Put in picture of ileal conduit and orthotopic neobladder
- Put in bladder staging diagram again
- Approx 500 new cases per year
- Put in pictures/movie of blue light cystoscopy
- Put in pictures/movie of blue light cystoscopy
- In other words get it right first time and the effect is lasting Put in picture from BJU international
- In other words get it right first time and the effect is lasting Put in picture from BJU international