Heated Intravesical Chemotherapy: Biology and Clinical Utility

Urol Clin North Am. 2020 Feb;47(1):55-72. doi: 10.1016/j.ucl.2019.09.008.

Abstract

Non-muscle-invasive bladder cancer can be a challenging disease to manage. In recent years, hyperthermia therapy in conjunction with intravesical therapy has been gaining traction as a treatment option for bladder cancer, especially if Bacillus Calmette-Guerin might not be available. Trials of intravesical chemotherapy with heat are few and there has been considerable heterogeneity between studies. However, multiple new trials have accrued and high-quality data are forthcoming. In this review, we discuss the role of combined intravesical hyperthermia and chemotherapy as a novel approach for the treatment of bladder cancer.

Keywords: Bladder hyperthermia; HIVEC; Heated chemotherapy; Heated mitomycin; Intravesical chemotherapy; Intravesical mitomycin.

Publication types

  • Review

MeSH terms

  • Administration, Intravesical
  • Antibiotics, Antineoplastic / administration & dosage
  • Humans
  • Hyperthermia, Induced / methods*
  • Mitomycin / administration & dosage*
  • Treatment Outcome
  • Urinary Bladder Neoplasms / therapy*

Substances

  • Antibiotics, Antineoplastic
  • Mitomycin