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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, Vasectomy

Katherine M. Cameron, M.D.

Katherine M. Cameron

M.D.

Female Incontinence, Female Pelvic Health, Female Urology, General Urology, Interstitial Cystitis, Kidney Stones, Overactive Bladder (OAB), Pelvic Floor Dysfunction, Pelvic Organ Prolapse, Stress Urinary Incontinence More...

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...

Brandon S. Cottrell, M.D.

Brandon S. Cottrell

M.D.

Adult circumcision, Artificial sphincter, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Stones, Male Infertility, Overactive Bladder (OAB), Peyronie's Disease, Prostate Cancer More...

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

Sean M. DeLair

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

Bladder Cancer, Cryotherapy, Kidney Cancer, Kidney Stones, Overactive Bladder (OAB), Penile Prosthesis, Prostate Cancer, Testicular Cancer, UroLift

Kristin Kirk-Hostetler, PT, DPT

Kristin Kirk-Hostetler

PT, DPT

Chronic Pelvic Pain, Pelvic Health Physical Therapy, Urinary Incontinence

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...

Laura C. Moore, MSN, RN, FNP-BC

Laura C. Moore

MSN, RN, FNP-BC

Eric R. Nicely, M.D., F.A.C.S.

Eric R. Nicely

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...

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...

Randall E. Pearson, M.D.

Randall E. Pearson

M.D.

Adult circumcision, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Stones, Male Infertility, Overactive Bladder (OAB), Peyronie's Disease, Prostate Cancer, Urethral Stricture Disease 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

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, Male Infertility, Penile Prosthesis, Peyronie's Disease, Prostate Cancer More...

Adam Shrewsberry, M.D.

Adam Shrewsberry

M.D.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, General Urology, Hematuria, Kidney Cancer, Kidney Stones, Overactive Bladder (OAB), Prostate Cancer, Robotic Prostatectomy More...

Autumn B. Synowiez, OTR/L

Autumn B. Synowiez

OTR/L

Pelvic Health Therapy, Perineal Pain, Urinary Incontinence

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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