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Intravesical BCG immunotherapy for bladder cancer

Intravesical BCG immunotherapy is the most effective method of intravesical treatment of superficial bladder cancer. It reduces the recurrence rate and prevents the progression of malignant tumors. For bladder cancer, BCG therapy is significantly superior to chemotherapy and reduces the recurrence rate by an average of 40%, while chemotherapy reduces only by 14%.

The BCG vaccine is a suspension of weakened viable Calmette-Guerin bacilli. It was first used in 1921 to vaccinate people against tuberculosis. Further studies have shown that tuberculosis patients are less likely to develop malignant tumors after vaccination. This served as the basis for studying the effectiveness of this treatment method at the bladder level, where Calmette-Guerin bacilli, multiplying intracellularly, stimulate local immunity.

BCG therapy has been used for many years both abroad and in Russia, in particular in the EMC Urological Clinic. Many patients do not notice any side effects after the procedure, but rare cases have been described where BCG therapy could provoke cystitis or prostatitis.

​Indications for the use of BCG therapy:

  • Bladder cancer

  • Tumor (including benign) of the bladder

  • Non-invasive (superficial) cancer

Contraindications to the use of BCG therapy:

  • Tuberculosis, including in the anamnesis

  • Hypersensitivity to the components of the drug

  • History of radiation therapy of the bladder

  • Congenital or acquired immunodeficiency (AIDS, leukemia, lymphoma)

  • Conducting immunosuppressive therapy

  • Severe concomitant diseases in the decompensation stage

  • Pregnancy and breastfeeding

Treatment regimen:

The course of treatment and the scheme are prescribed individually by an oncourologist according to the results of a histological examination. Usually, the standard induction course includes 6-8 weekly procedures. Approximately 2 hours after vaccination, the drug is concentrated in the bladder.

  • RESEARCH INSTITUTE OF ONCOLOGY OF THE Russian FEDERATION Ministry of Health of Russia

  • EAU (European Association of Urology)

  • AUA (American Association of Urology)

  • NCCN (National Comprehensive Cancer Network)

  • FICBT (First International Consultation on Bladder Tumours)


Why the EMС

The first and only clinic in Russia, created in the image of the world's leading clinics

EMC is a multidisciplinary center offering patients a high level of medical services and a personalized approach

600
world-renowned doctors
57
treatment directions
35
taking care of your health
24/7
we work at any convenient time

World recognition and awards

Our achievements are confirmed by prestigious international awards
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World recognition and awards

We work according to international standards, we have licenses and certificates
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Doctors

Grigorev Nikolay
Head of the Urological Clinic, Head of the Department of Urology at the EMC Medical School, Doctor of Medicine, Professor
-
Iskander Abdullin
President of the Association of Young Urologists of Russia (AMUR, Ph.D. of Medical Sciences
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Ekaterina Korshunova
Ph.D. of Medical Sciences, Doctor of the highest category
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Vagan Barsegyan
Ph.D. of Medical Sciences
-
Aleksey Kovalenko
-
Gvozdev Mikhail
Doctor of Medicine, Professor, Honored Doctor of the Russian Federation, Doctor of the highest category
-
Tihonova Lyudmila
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Gvasalia Badri
Professor, Doctor of Medicine
-
Sabirzyanova Zukhra
Ph.D. of Medical Sciences
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Vsevolod Matveev
President of the Russian Society of Oncourologists, expert of the European Association of Urologists (EAU) section "Prostate Cancer", Doctor of Medicine, Professor
-
Tedeev Rustam
Ph.D. of Medical Sciences
-
Kuznetskiy Yuriy
Doctor of Medicine, Doctor of the highest category, Professor
-
Dariy Evgeniy
Ph.D. of Medical Sciences, Doctor of the highest category
-
Grigorev Nikolay
Head of the Urological Clinic, Head of the Department of Urology at the EMC Medical School, Doctor of Medicine, Professor
  • He is a recognized expert in endoscopic urology.
  • He has performed more than 5,000 endoscopic and open surgeries on the organs of the genitourinary system
  • Member of the Russian Society of Urology, the Russian Society for Endourology and New Technologies, the European Urological Association, the World Endourological Society
Total experience
33 years
Experience in EMC
since 2016

Reviews

City: -
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko
I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
... more

City: Tyumen
Gratitude
Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

City: -
I got ALL my questions answered
I was at the consultation of Professor Vsevolod Borisovich Matveev... I got ALL my questions answered... And even more...In a word-not a man, but a HUMAN BEING...!!! The staff is friendly, answers all questions, helps, etc... People with health problems come in...They all have no
time for this or that...Employees understand all this and make their stay in the clinic as comfortable as possible...
... more

City: Moscow
Thanks to A. V. Kovalenko
Good afternoon! Alexey Vasilyevich Kovalenko received a patient in the acute phase of inflammation after examination in another clinic ("clinic" is the key here) with a diagnosis of lifelong catheterization from the head of the urology department. In JSC " EMC " doctor Alexey
Vasilyevich removed the inflammation, established a diagnosis, which was confirmed a month later by additional examinations and successfully performed the operation.The patient is sent home without a catheter to live, work, raise children and be happy.There are no words in the world to express our gratitude to Alexey Vasilyevich!We believe that the clinic of JSC "EMC "(Shchepkina 35) should be infinitely proud of such a specialist and professional in their field!And we wish our doctor a long long life, successful operations and thank you for meeting a real doctor!
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Licenses and certificates

The EMC's activities comply with internationally accepted medical and administrative standards, as well as patient safety requirements.

ICI INTERNATIONAL QUALITY CERTIFICATES ISSUING SERVICES LLC
International Accreditation
Joint Commission International
International Accreditation 2018, 2021
Luxury Lifestyle Awards
Best Luxury International Private Hospital Group
International Hospital Federation
International Hospital Federation Premier Member
IV All-Russian rating of radiology departments
Four-time winner
License for medical activities
License for pharmaceutical activities
License for activity on circulation of narcotic drugs, psychotropic substances
License for providing high-tech medical care