Review Article

Clinical Spectrum of Complications Induced by Intravesical Immunotherapy of Bacillus Calmette-Guérin for Bladder Cancer

Table 1

Incidence of complications induced by intravesical BCG immunotherapy for NMIBC [6, 8, 1113, 17, 23, 26, 27, 34, 39, 52].

Genitourinary complicationsIncidence (%)Systemic complicationsIncidence (%)

Cystitis27-95Fever (>38.5°C)2.9
Bladder contracture< 1Mycotic Aneurysms0.7-4.6
Bladder ulceration1.5Miliary pulmonary tuberculosis0.4
Penile lesions5.9Granulomatous hepatitis0.7-5.7
Tuberculous epididymo-orchitis0.4Reactive arthritis0.5-5.7
Symptomatic prostatitis10Tuberculous Spondylitis3.5
Ureteral obstruction0.3BCG sepsis0.4
Kidney infections0.3-3.5

Penile lesions consisted of nodules, papules, plaques, or ulcers, with or without inguinal lymph node enlargement.