
One year following the approval of the gemcitabine intravesical system, Joseph Jacob, MD, reflects on the expanding treatment landscape in BCG-unresponsive NMIBC.
Proper preoperative evaluation, meticulous attention to surgical detail, and an understanding of the variety of cuff placement techniques play a crucial role in minimizing the postoperative morbidity and complications associated with AUS placement.
The current model (AMS 800) was introduced in 1983 and has now been used for more than 20 years. The three components of the device are:
Preoperative evaluation
Surgical technique


