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February 2026 A PRACTICAL ALGORITHM FOR BCG CYSTITIS DIAGNOSIS AND MANAGEMENTJoshua Meeks, MD, PhD, explains how BCG cystitis develops and how it can be identified and managed effectively. He outlines Northwestern Medicine’s systemwide, evidence based approach to balancing bladder cancer control with treatment related toxicity, including symptom assessment, cystoscopic findings, biopsy and imaging considerations, and collaboration between urology and infectious disease specialists. Early recognition and intervention can help reduce long term bladder damage and restore quality of life for patients.
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Joshua Meeks, MD, PhD, the Edward M. Schaeffer, MD, PhD Professor of Urology, and Associate Professor of Urology at Northwestern Medicine
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