Welcome to the group. I didn't have BCG, but plenty here who have had it/going through a course, so I'm sure they will soon be along to comment. Seems that some sail through with relatively mild side effects, others have much more severe issues. Hope you do well.

Good Morning MrPib and welcome to this friendly and supportive group. Not had BCG myself but many here have and I am sure will be along to share experiences. Regarding anktiva, I've not come across it here in the group and a search brings nothing up, so it sounds like a new treatment alongside BCG. Keep us posted on how it goes. Best wishes.

Thank you for the reply. I am from the US, so maybe that is why

Hi MrPib,Welcome to the group.Best wishes for your treatment.Jane 

Also, I am a fitness/ masters swimmer. Asking for advice on working out in gereral and specifically swimming. Day 4 after TURBT/gemcitabine and despite the fatigue, I am going to try with a small goal of 20 min. 

Hi MrPib . It is advised not to do too much for a couple of weeks following  a TURBT as there is the danger of aggravating the wound. Slow and steady is the way, but great to hear you like to exercise. Best wishes.

Hope you are well

Anktiva is approved in the UK via the NHS for BCG unresponsive patients. BCG still being the best option

Best regards

Same in the US. My urologist is one of many throughout the US doing a study of Anktiva in addition to BCG in patients who have never been treated. 

ImmunityBio Advances First-Line BCG Naive NMIBC Program with Enrollment Exceeding Expectations and Positive Interim Analysis for ANKTIVA® Plus BCG

Press release from January 

Bit different in UK , it is only approved for people who have failed bcg therapy. Even then it is given with BCG ! Your FDA has recently reprimanded the manufacturer for overplaying it's effectiveness and there a number of class actions being raised by investors over this. Interesting to contrast the two counties approach, time will tell.

Best regards