
Turbt Done. Biopsy Done. Noticed Bleeding In Urine. When Should BCG Treatment Start?

Question: Hello doctor,
my brother's first turbt done on 28th aug, due to unseen XXXXXX muscles in first biopsy second biopsy done on 5th sep. it diagonesed t1g3. now doctors suggest line of tretment BCG. when BCG treatment should start. After second biopsy there is bleeding in urine on 8th day, 13th day and 20th day. please suggest when should BCG treatment start now. Today (28 sep) in urine's microscopic examination PUS Cells 15-20 /hpf, RBC 80-100 /hpf, epithilial cells 2-3 /hpf
my brother's first turbt done on 28th aug, due to unseen XXXXXX muscles in first biopsy second biopsy done on 5th sep. it diagonesed t1g3. now doctors suggest line of tretment BCG. when BCG treatment should start. After second biopsy there is bleeding in urine on 8th day, 13th day and 20th day. please suggest when should BCG treatment start now. Today (28 sep) in urine's microscopic examination PUS Cells 15-20 /hpf, RBC 80-100 /hpf, epithilial cells 2-3 /hpf
Hi,
Thanks for writing to XXXXXXX
Usually BCG is started 2 to 3 weeks after TURBT.
The other pre-requisites are
1. Urine culture needs to be sterile.
2. No gross blood in urine.
Hope this helps, kindly get back for doubts if any,
Regards
DR GS
Thanks for writing to XXXXXXX
Usually BCG is started 2 to 3 weeks after TURBT.
The other pre-requisites are
1. Urine culture needs to be sterile.
2. No gross blood in urine.
Hope this helps, kindly get back for doubts if any,
Regards
DR GS
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

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