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Blue Light Cystoscopy – Improving the Diagnosis of Bladder Cancer

Patients of Tennessee Urology benefit from an innovative diagnostic technology called Blue Light Cystoscopy with Cysview®. Blue light cystoscopy greatly improves on the traditional white light cystoscopy because blue light technology can actually allow the urologist to visualize more cancer tumors within the bladder.

What is Cystoscopy?

Cystoscopy involves the insertion of a small optic instrument or thin tube (cystoscope) with a lighted tip into the urethra and bladder, allowing the urologist to examine the urethra and bladder wall for suspicious lesions. If a tumor is found in the bladder during this diagnostic imaging exam, your urologist can perform the removal of the lesion.

What is Blue Light Cystoscopy?

Traditionally, white light cystoscopy has been the “gold standard” for diagnosing bladder cancer. However, this diagnostic tool has limitations. While white light does highlight abnormalities in the bladder, this light can miss the harder to see tumors. Now, utilizing blue light technology, these limitations in detecting hard to see tumors are overcome. Blue light cystoscopy is used for patients suspected or known to have a certain kind of bladder cancer called non-muscle invasive papillary bladder cancer.

Blue light cystoscopy uses innovative imaging techniques that help urologists find bladder tumors more easily than standard cystoscopy utilizing blue light technology.

 


Pictured: The photo to the far right shows a bladder image using white-light cystoscopy alone. The blue photo to the left shows the same image after using Blue Light Cystoscopy with Cysview® as an adjunct to white light. The bladder tumor is highlighted in the pink area.

 

 

 

How Blue Light Cystoscopy Works

  • Cysview® is an imaging solution that is delivered directly into your bladder and is absorbed by the cancerous tissue.
  • After the solution has had time to be absorbed by the bladder tissue (typically about one hour before your procedure), your urologist will perform the cystoscopy using specialized imaging equipment. The long thin tube (cystoscope) is inserted through the urethra (the tube that carries urine from the bladder outside of your body) and into the bladder.
  • The cystoscopy is usually done under IV or general anesthesia in the hospital as it is commonly performed with a biopsy or resection.
  • Your doctor looks through the tube with a white light, and then a blue light. The blue light enables the Cysview solution to highlight tumors and make them more visible. The solution highlights tumors by turning them bright pink or red under the blue light.
  • If any suspicious legions are found, your doctor can then remove cells for further testing to confirm a diagnosis of bladder cancer.

Urologic Oncologists

Mark G. Bowles, M.D.

Mark G. Bowles

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Stones, Overactive Bladder (OAB), Prostate Cancer, Urethral Stricture Disease, UroLift, Vasectomy

Stuart A. Chasan, M.D., F.A.C.S.

Stuart A. Chasan

M.D., F.A.C.S.

3D Ultrasound/MRI Fusion Prostate Cancer Biopsy, Adult circumcision, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Extra Corporeal Shock Wave Lithotripsy (ESWL), General Urology, Greenlight Laser Therapy, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Male and Female Voiding Dysfunction More...

Walter William Chiles, M.D., F.A.C.S.

Walter William Chiles

M.D., F.A.C.S.

Female Incontinence, General Urology, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Laser prostatectomy, Rezum Therapy for BPH, Robotic Prostatectomy, UroLift, Vasectomy, Xiaflex® for Peyronies disease

Lee Congleton, III, M.D., F.AC.S.

Lee Congleton, III

M.D., F.AC.S.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Cryosurgery for Prostate Cancer, Erectile Dysfunction, Female Incontinence, Female urinary incontinence, General Urology, Hematuria, Kidney Stones More...

Fran Do, PA-C

Fran Do

PA-C

Kristin Kirk-Hostetler, PT, DPT

Kristin Kirk-Hostetler

PT, DPT

Chronic Pelvic Pain, Pelvic Health Physical Therapy, Urinary Incontinence

Emma Latimore, PA-C

Emma Latimore

PA-C

General Urology

Timothy J. LeRoy, M.D., F.A.C.S.

Timothy J. LeRoy

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Pelvic Health, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Low Testosterone, Male Sexual Health, Peyronie's Disease, Prostate Cancer More...

Garrett H. Lischer, M.D., F.A.C.S.

Garrett H. Lischer

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Incontinence, Kidney Stones, Low Testosterone, Male Incontinence, Male Sexual Dysfunction, Overactive Bladder (OAB), Penile Prosthesis More...

Heather Miller, FNP

Heather Miller

FNP

General Urology

Brian Parker, M.D., F.A.C.S.

Brian Parker

M.D., F.A.C.S.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Pelvic Health, General Urology, Hematuria, Interstitial Cystitis, Kidney Stones, Low Testosterone More...

Christopher E. Ramsey, M.D., F.A.C.S.

Christopher E. Ramsey

M.D., F.A.C.S.

Bladder Cancer, General Urology, Hematuria, Kidney Stones, Prostate Cancer, Robotic Prostatectomy, Robotic surgery, UroLift, Vasectomy

Peter D. Sershon, MD, FACS

Peter D. Sershon

MD, FACS

3D Ultrasound/MRI Fusion Prostate Cancer Biopsy, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Kidney Cancer, Kidney Stones, Prostate Cancer, Robotic surgery, UroLift Treatment for BPH, Vasectomy

Arlene Shaw, MS, RN, AGNP-C

Arlene Shaw

MS, RN, AGNP-C

Benign Prostatic Hyperplasia/BPH, General Urology, Prostate Cancer

T. Preston Shepherd, M.D., F.A.C.S.

T. Preston Shepherd

M.D., F.A.C.S.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Interstitial Cystitis, Kidney Stones, Low Testosterone, Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Testicular pain More...

Autumn B. Synowiez, OTR/L

Autumn B. Synowiez

OTR/L

Pelvic Health Therapy, Perineal Pain, Urinary Incontinence

Rachel Vann, MSN, RN, NP-C

Rachel Vann

MSN, RN, NP-C

Prostate Cancer

Sylvia Waters, RN

Sylvia Waters

RN

Prostate Cancer

Benefits of Blue Light Cystoscopy

  • Better tumor visibility and more complete removal of lesions
  • Decreased rates of tumor recurrence
  • Potentially increased detection of small tumors, sometimes missed using traditional cystoscopy
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