Answer
Intravesical mitomycin is placed directly inside the bladder through a catheter. Intravenous mitomycin enters the bloodstream and is used for selected advanced cancers, so systemic adverse effects are more prominent.
Sources for this answer
- Mitomycin medac, 40 mg, Powder and solvent for intravesical solutionemc · SmPC Current selected SmPC · Version 9
- Mitocin 20 mg, powder for solution for injection/infusion or intravesical use