PMID- 35749398 OWN - NLM STAT- MEDLINE DCOM- 20220803 LR - 20220818 IS - 1473-6586 (Electronic) IS - 0963-0643 (Linking) VI - 32 IP - 5 DP - 2022 Sep 1 TI - Device-assisted intravesical chemotherapy treatment for nonmuscle invasive bladder cancer: 2022 update. PG - 575-583 LID - 10.1097/MOU.0000000000001010 [doi] AB - PURPOSE OF REVIEW: To critically analyze the oncological outcomes and safety profile of device-assisted intravesical chemotherapy studies reported in 2021. Studies were considered eligible if they included patients with nonmuscle invasive blood cancer (NMIBC), had a prospective or retrospective design, included at least 10 patients, were published in 2021, and assessed the oncological impact of device-assisted intravesical chemotherapy and/or reported standardized adverse effects (AEs). RECENT FINDINGS: Eight new studies reported oncological outcomes after hyperthermic intravesical chemotherapy (HIVEC). In Bacillus Calmette-Guerin (BCG) naive patients, the reported 2-yr. recurrence-free survival (RFS) ranged from 70.7% to 82.4%, with one study reporting 2 yr. progression free survival (PFS) of 92%. In both BCG naive and BCG refractory patients, the reported 1-yr. RFS ranged from 60.5% to 70% and PFS was 94% in one study. For radiofrequency-induced HIVEC, the reported 5-yr. estimates were 38%for RFS and 91.5%for PFS. Regarding AEs, 10.2% of patients had severe AEs. Six studies reported AEs after HIVEC; the majorities were grade 1-2 AEs. SUMMARY: Data coming from the studies published in the last years provides support for a consolidating role of device-assisted intravesical chemotherapy as a safe and effective alternative first- or second-line adjuvant treatment of patients with NMIBC. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Vartolomei, Mihai Dorin AU - Vartolomei MD AD - Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria. AD - Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science and Technology from TarguMures, Targu Mures, Romania. FAU - Ferro, Matteo AU - Ferro M AD - Urology Department, European Institute of Oncology, Milan, Italy. FAU - Roth, Beat AU - Roth B AD - Department of Urology, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne, Lausanne, Switzerland. FAU - Teoh, Jeremy Yuen-Chun AU - Teoh JY AD - S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China. FAU - Gontero, Paolo AU - Gontero P AD - Division of Urology, Citta Della Salute e Della Scienza di Torino, Molinette Hospital, University of Turin, Torino, Italy. FAU - Shariat, Shahrokh F AU - Shariat SF AD - Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria. AD - Departments of Urology, Weill Cornell Medical College, New York, New York. AD - Department of Urology, University of Texas Southwestern, Dallas, Texas, USA. AD - Department of Urology, Second Faculty of Medicine, Charles University, Prag, Czech Republic. AD - Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University, Moscow, Russia. AD - Hourani Center for Applied Scientific Research, Al-Ahliyya Amman University, Amman, Jordan. AD - Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220624 PL - United States TA - Curr Opin Urol JT - Current opinion in urology JID - 9200621 RN - 0 (BCG Vaccine) SB - IM MH - Administration, Intravesical MH - BCG Vaccine MH - Humans MH - Neoplasm Invasiveness MH - Neoplasm Recurrence, Local MH - Prospective Studies MH - Retrospective Studies MH - *Urinary Bladder Neoplasms/drug therapy EDAT- 2022/06/25 06:00 MHDA- 2022/08/04 06:00 CRDT- 2022/06/24 13:43 PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/08/04 06:00 [medline] PHST- 2022/06/24 13:43 [entrez] AID - 00042307-202209000-00023 [pii] AID - 10.1097/MOU.0000000000001010 [doi] PST - ppublish SO - Curr Opin Urol. 2022 Sep 1;32(5):575-583. doi: 10.1097/MOU.0000000000001010. Epub 2022 Jun 24.