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Option (Evidence Strength: Grade C) Intravesical Instillations DMSO, heparin, and/or lidocaine may be administered as intravesical treatments (listed in alphabetical order

Because secretagogues amplify natural GH pulses rather than creating a pharmacokinetic peak from outside, dosing in the evening (near sleep onset) aligns the induced pulse with the body's largest natural nocturnal GH surge

Based on data for the CY 2026 OPPS/ASC proposed rule, APC 2645 (Brachytx, non-stranded, gold-198) had 103 single claims and no longer met our criteria to be designated as a low volume APC

Every patient is different we always recommend a consultation first