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Narrow Band Imaging Cystoscopy (NBI®)

Enhancing the Visualization of Bladder Tumors

New techniques have been introduced to improve the physician’s ability to detect small, non-muscle-invasive tumors that may not be seen with conventional cystoscopy.  In certain situations, Tennessee Urology physicians may utilize Narrow Band Imaging (NBI) Cystoscopy, an image enhancement technology with greater sensitivity for detecting bladder tumors.  The technology takes advantage of the benefits of varying wavelengths of white light without the need for dyes or drugs.

 

[Pictured above]: The image at left shows visualization using white light; at right the image shows visualization utilizing NBI.

How NBI is Performed

  • Narrow Band Imaging cystoscopy is performed in your urologist’s office or one of Tennessee Urology’s Summit ambulatory surgery centers (ASC). The procedure is performed the same way as a diagnostic cystoscopy with the special imaging technology attached to the tip of the cystoscope.
  • NBI does not require that you take medications or have any type of dye injection to enhance visualization.
  • Because this technology does not require preparation by the patient, the physician may decide to utilize the NBI cystoscopy during the course of a traditional cystoscopy.
  • NBI can also be utilized for biopsy or transurethral resection of a bladder tumor (tumor removal).

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, Vaginal rejuvenation

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, Prostate Cancer, Rezum Therapy for BPH, Ureteroscopy, UroLift Treatment for BPH, Vasectomy

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, Low Testosterone, Male Incontinence, No-Scalpel Vasectomy, Overactive Bladder (OAB), Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Rezum Therapy for BPH, Robotic Prostatectomy, Urethral sling surgery, Urethral Stricture Disease, UroLift, Voiding dysfunction

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, Prostatitis, Urethral Stricture Disease, Vasectomy

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, Rezum Therapy for BPH, Robotic Prostatectomy, Urinary Incontinence, UroLift, Voiding dysfunction

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, Peyronie's Disease, Prostate Cancer, Robotic Prostatectomy, Stone Disease, UTI, Vaginal rejuvenation, Voiding dysfunction

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, Male Infertility, Overactive Bladder (OAB), Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Testicular pain, Urethral Stricture Disease, Urinary Incontinence, UroLift, UTI, Vasectomy

Brian Parker, M.D.

Brian Parker

M.D.

Artificial sphincter, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Pelvic Health, General Urology, Hematuria, Interstitial Cystitis, Kidney Stones, Low Testosterone, Male Infertility, Overactive Bladder (OAB), Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Urethral Stricture Disease, Urinary Incontinence, Vasectomy, Voiding dysfunction

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, Vasectomy, Vasectomy reversal

Christopher E. Ramsey, M.D.

Christopher E. Ramsey

M.D.

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, Testicular pain, Urethral Stricture Disease, Urinary Incontinence

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, Robotic surgery, UroLift, Vasectomy, Voiding dysfunction

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

The peak light absorption of hemoglobin occurs at the wavelengths used in NBI. As a result, blood vessels appear very dark, allowing for improved visibility and improved identification of other surface structures within the bladder walls, including new and recurrent tumors.

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