Bacillus Calmette-Guerin: Inequalities in Efficacy and Availability

A 75-year-old man with significant coronary artery disease and renal insufficiency presented with painless gross hematuria and underwent a transurethral resection of bladder tumor (TURBT).

Pathology revealed high grade T1 urothelial carcinoma. Muscularis propria was present and uninvolved. He underwent a mandatory reresection of tumor base, which demonstrated no residual tumor. He elected to proceed with bacillus Calmette-Guerin (BCG) maintenance intravesical ...