Bladder cancer
INACTIVE --- BCG or early cystectomy? Challenges in high risk NMIBC

Betty (71 years old)

Betty, 71 years old, used to be an air hostess, famous for her friendly smile, infamous for her burst of rage at impolite passengers. She suffers from:

  • arterial hypertension
  • diabetes type II
  • overweight
  • PS 1


On TURBT pTis was detected. BCG induction was started and followed by a first course of maintenance BCG.
6 months after start of BCG therapy, CIS is persistent.

What is the most appropriate treatment choice for this patient?