(UroToday.com) The European Association of Urology (EAU) Section of Oncological Urology (ESOU) 2021 Virtual meeting including a session on conservative management of urothelial cancer and a presentation discussing alternative treatment for Bacille Calmette- Guerin (BCG) refractory non-muscle-invasive bladder cancer (NMIBC) by Professor Marko Babjuk. He notes that the definition of BCG unresponsive tumors are patients with recurrent NMIBC after BCG for whom continued BCG is unlikely to provide a clinical benefit. Parameters of the definition include: