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Complication treatment of bladder cancer

Both chemotherapy and radiation therapy cause varying degrees of side effects. Supportive treatment is often necessary in order for the patient to gain the full effect of treatment and/or to reduce bothersome side effects. During and after instillation of BCG in the bladder, the patient may experience different forms of discomfort. In such cases, it is necessary to provide the patient with supportive care to reduce discomfort. 

Side effects of chemotherapy

  • Nausea to varying degrees. Good prophylaxis and treatment helps significantly.
  • Reduced bone marrow function, especially granulocytopoesis which may require stimulation to complete relevant treatment, in some cases. 
  • Anemia
  • Hairloss
  • Oto-/nephrotoxicity (cisplatin)

Side effects of radiation therapy

  • Nausea. In combination with chemotherapy, nausea will increase. It is normal for the patient to lose 5-6 kg due to poor apetite during treatment. 
  • Anemia. A hemoglobin level over 11 g/dl should be maintained during treatment. 

Side effects of BCG bladder instillation   

  • Dysuria and other symptoms of irritation and inflammation in the bladder/urinary tract. Frequent and burning urination is common during the first days after each treatment.  
  • Fever
  • Lethargia
  • Influenza-like syndrome. This is most common on the day of treatment or the following day.

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