RE:Updated Treatment Guidelines ! I hope we make 2025 list !I was hoping to see some mention of PDT as an alternative to BCG unresponsive NMIBC. Not even "C" which is a kind of level 3 methodology for Managing NMIBC. There is only a broad mention in one paragraph. that is Quoted here. Yes hopefully we make it the next updates for AUA
"The optimal management for patients with persistent or recurrent high-grade NMIBC after two courses of BCG (eg, two induction 6-week courses or an induction 6-week course and maintenance 3-week course) who are unwilling to undergo or unfit for cystectomy remains to be established. Continued investigation through clinical trials of novel therapeutic approaches for such patients remains paramount, and clinicians should seek trials and enroll patients."