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Blue Light Cystoscopy – Improving the Diagnosis of Bladder Cancer

Patients of Colorado 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

Deborah Aggers, CCRP

Deborah Aggers

CCRP

Clinical Trials

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

C. Cragin Anderson

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

Benign Prostatic Hyperplasia/BPH, Enlarged Prostate (BPH), Female Stress Urinary Incontinence, General Urology, Greenlight Laser Therapy for BPH, Kidney Stone Treatment and Prevention, Male Sexual Health, Peyronie's Disease, Prostate Cancer - Surgical and Radiation Treatment, Prostate Disease More...

Katrina Bailey, PA-C

Katrina Bailey

PA-C

Female Incontinence, Interstitial Cystitis, Kidney Stones, UTI

David J. Cahn, M.D.

David J. Cahn

M.D.

Advanced Prostate Cancer Treatment, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Male and Female Voiding Dysfunction, Minimally Invasive Surgery, Neurourology, Overactive Bladder (OAB), Urinary Incontinence, Urologic Cancers

Julio Chong, M.D.

Julio Chong

M.D.

Benign Prostatic Hyperplasia/BPH, Endourologic Stone Surgery, General Urology, Kidney Stone Treatment and Prevention, Miniature Percutaneous Nephrolithotomy (mPCNL), Minimally Invasive Management of Prostate Cancer and Kidney Cancer, Multi-tract PCNL, Open and Laparoscopic Management of Renal Malignancies, Percutaneous Nephrolithotomy (PCNL), Surgical Treatment of Large and Complex Kidney Stones More...

James E. Clark, M.D.

James E. Clark

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, General Urology, InterStim Neuromodulation Therapy for OAB, Kidney Cancer, Kidney Stones, Laparoscopic Surgery, Prostate Cancer, Prostate Disease, Robotic surgery More...

Thomas M. Facelle, M.D.

Thomas M. Facelle

M.D.

Benign Prostatic Hyperplasia/BPH, General Urology, Kidney Stones, Laparoscopic Surgery, Metabolic Management of Kidney Stones, Minimally Invasive Surgery, Prostate Cancer, Robotic surgery, Sexual Dysfunction, Surgical Management of Stone Disease More...

Eric S. Gourley, M.D.

Eric S. Gourley

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Cancer, Kidney Stones, Prostate Cancer, Robotic surgery, UroLift, Vasectomy

Jason M. Greenfield, M.D.

Jason M. Greenfield

M.D.

Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Stones, Low Testosterone, Male Sexual Dysfunction, Male Sexual Health, Minimally Invasive Surgery, Peyronie's Disease, Stone Disease More...

Diane M. Hartman, M.D.

Diane M. Hartman

M.D.

Bladder Cancer, Female Pelvic Health, Female urinary incontinence, Female Urology, General Urology, Kidney Cancer, Kidney Stones, Pelvic Organ Prolapse, Prostate Cancer, Urologic Cancers

Nancy A. Huff, M.D.

Nancy A. Huff

M.D.

Benign Prostatic Hyperplasia/BPH, Female Pelvic Health, Female Urology, General Urology, Kidney Stones, Pelvic Organ Prolapse, Urinary Incontinence, UTI, Vasectomy

Daniel Humer, PA-C

Daniel Humer

PA-C

Benign Prostatic Hyperplasia/BPH, Kidney Stones, Male Sexual Health, Prostate Cancer

John C. Kefer, M.D., Ph.D

John C. Kefer

M.D., Ph.D

Benign Prostatic Hyperplasia/BPH, General Urology, Kidney Stone Treatment and Prevention, Minimally Invasive Management of Prostate Cancer and Kidney Cancer, Sexual Dysfunction, Single-Site, No-Scalpel Vasectomy, Urinary Incontinence, UroLift

Katherine M. Kowalk, PA-C

Katherine M. Kowalk

PA-C

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Female Pelvic Health, Hematuria, Kidney Stones, Pelvic Organ Prolapse, Prostate Cancer, Urinary Incontinence, UTI

Geoff T. Ledgerwood, M.D.

Geoff T. Ledgerwood

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female Urology, General Urology, Kidney Cancer, Kidney Stones, Minimally Invasive Surgery, Pelvic Organ Prolapse, Prostate Cancer More...

Christina Lee, PA-C

Christina Lee

PA-C

Interstitial Cystitis, Kidney Stones, Prostate Cancer, Urinary Incontinence, UTI

Steven W. Luke, M.D., F.A.C.S.

Steven W. Luke

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

Bladder Conditions, Botox Treatment for Bladder Conditions, Erectile Dysfunction, Laparoscopic Surgery, Low Testosterone, Male Sexual Dysfunction, Male Sexual Health, Urinary Incontinence, UroLift

Sam H. Melouk, M.D.

Sam H. Melouk

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, General Urology, Kidney Cancer, Kidney Stones, Pelvic Organ Prolapse, Prostate Cancer, Prostate Disease, Robotic surgery, Stone Disease More...

John “Jay” Paddack, M.D.

John “Jay” Paddack

M.D.

General Urology, BPH/Prostate Enlargement, Kidney Stone Treatment and Prevention, Minimally Invasive/Robotic Surgery, Urethral Stricture Disease; Kidney, Bladder, Prostate and Testicular Cancer; Male Sexual Dysfunction, Urinary Incontinence, Botox® and Interstim® Bladder Control Treatments for Overactive Bladder, Vasectomy

Kristen Petrelli, FNP-BC, AOCNP

Kristen Petrelli

FNP-BC, AOCNP

Prostate Cancer, Urologic Cancers

Erin Quinn, PA-C

Erin Quinn

PA-C

Female Incontinence, Kidney Stones, Low Testosterone, Pelvic Organ Prolapse, Urologic Cancers

Jennifer Quinn,

Jennifer Quinn

Clinical Trials

Jessica Ramirez, PA-C

Jessica Ramirez

PA-C

Benign Prostatic Hyperplasia/BPH, Kidney Stone Treatment and Prevention, Voiding dysfunction

Ali M. Sarram, M.D.

Ali M. Sarram

M.D.

Benign Prostatic Hyperplasia/BPH, Kidney Cancer, Kidney Stones, Laparoscopic & Robotic Kidney Surgery, Minimally Invasive/Robotic Urologic Surgery, Robotic Prostatectomy, Single-Site, No-Scalpel Vasectomy, Urinary Incontinence, UroLift, Vasectomy More...

Damian N. Sorce, M.D.

Damian N. Sorce

M.D.

Benign Prostatic Hyperplasia/BPH, General Urology, High-Intensity Focused Ultrasound (HIFU), InterStim Neuromodulation Therapy for OAB, Kidney Cancer, Minimally Invasive Surgery, Prostate Cancer, Rezum Therapy for BPH, Robotic surgery, Single-Site, No-Scalpel Vasectomy More...

J. Christopher Webster, M.D., F.A.C.S.

J. Christopher Webster

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

Benign Prostatic Hyperplasia/BPH, Cryosurgery, Female urinary incontinence, General Urology, Kidney Cancer, Kidney Stones, Laparoscopic Surgery, Laser Surgery, Minimally Invasive Surgery, Pelvic Organ Prolapse More...

Brenton B. Winship, M.D.

Brenton B. Winship

M.D.

Benign Prostatic Hypertrophy, General Urology, Hematuria, Kidney Stone Treatment and Prevention, Kidney Stones, Kidney Tumors, Metabolic Management of Kidney Stones, Minimally Invasive Surgery, Prostate Cancer, Robotic surgery More...

Derek K. Zukosky, D.O.

Derek K. Zukosky

D.O.

Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, General Urology, Kidney Cancer, Laparoscopic Surgery, Prostate Cancer, Robotic surgery, Stone Disease, Urolithiasis, Urologic Cancers

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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