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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

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, Kidney Stone Treatment and Prevention, Male Sexual Health, Peyronie's Disease, Prostate Cancer - Surgical and Radiation Treatment, Prostate Disease, Prostate Surgery, Sexual Dysfunction, Vasectomy Including No-Scalpel

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

Jim E. Clark, M.D.

Jim 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, Stone Disease, Urinary Incontinence, Urologic Cancers

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, Urologic Cancers

Michael A. Glass, M.D.

Michael A. Glass

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, Kidney Cancer, Kidney Stones, Male Infertility, Minimally Invasive Surgery, Pelvic Organ Prolapse, Prostate Cancer, Prostate Surgery, Robotic Prostatectomy, Robotic surgery, Single-Site, No-Scalpel Vasectomy, Testicular Cancer, Urinary Incontinence, Vasectomy

Jason M. Greenfield, M.D.

Jason M. Greenfield

M.D.

Erectile Dysfunction, General Urology, Male Sexual Dysfunction, Male Sexual Health, Peyronie's Disease

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

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

Geoff T. Ledgerwood, M.D.

Geoff T. Ledgerwood

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, Female urinary incontinence, Female Urology, General Urology, Kidney Cancer, Kidney Stones, Metabolic Management of Kidney Stones, Minimally Invasive Surgery, Pelvic Organ Prolapse, Penile Prosthesis, Prostate Cancer, Robotic surgery, Single-Site, No-Scalpel Vasectomy, Stone Surgery, Stress Urinary Incontinence, Surgical Management of Stone Disease, Urinary Incontinence, Urologic Cancers, UTI, Vasectomy, Voiding dysfunction

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

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, Urinary Incontinence, Urologic Cancers

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, Vasectomy reversal

Jonathan J. Seidlin, M.D.

Jonathan J. Seidlin

M.D.

Adult circumcision, Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Erectile Dysfunction, General Urology, InterStim Neuromodulation Therapy for OAB, Kidney Stones, Male Sexual Dysfunction, Minimally Invasive Surgery, Overactive Bladder (OAB), Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Single-Site, No-Scalpel Vasectomy, Testicular Cancer, Urethral sling surgery, Urinary Incontinence, Vasectomy

Damian N. Sorce, M.D.

Damian N. Sorce

M.D.

Benign Prostatic Hyperplasia/BPH, Bladder Cancer, Cryosurgery for Prostate Cancer, General Urology, InterStim Neuromodulation Therapy for OAB, Kidney Cancer, Kidney Stones, Minimally Invasive Surgery, Prostate Cancer, Robotic surgery, Single-Site, No-Scalpel Vasectomy, Testicular Cancer, Thermal ablation of kidney masses, Urinary Incontinence, Vasectomy, Voiding dysfunction

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, Prostate Cancer, Prostate Disease, Robotic surgery, Urinary Incontinence

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, Sexual Dysfunction

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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