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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, Colorado 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 Colorado 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

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.

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.

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.

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.

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

Jason M. Greenfield

M.D.

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

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.

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

Benign Prostatic Hyperplasia/BPH, General Urology, Kidney Cancer, Kidney Stone Treatment and Prevention, Male Infertility, No-Scalpel Vasectomy, Prostate Cancer, Prostate Disease, Robotic surgery, Sexual Dysfunction, Urinary Incontinence, UroLift

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, No-Scalpel Vasectomy, Pelvic Organ Prolapse, Penile Prosthesis, Prostate Cancer, Robotic surgery, 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.

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.

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.

Benign Prostatic Hyperplasia/BPH, Erectile Dysfunction, Impotence, Kidney Cancer, Kidney Stones, Laparoscopic & Robotic Kidney Surgery, Minimally Invasive/Robotic Urologic Surgery, No-Scalpel Vasectomy, Robotic Prostatectomy, Urinary Incontinence, UroLift, Vasectomy, Vasectomy reversal

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, No-Scalpel Vasectomy, Overactive Bladder (OAB), Penile Prosthesis, Peyronie's Disease, Prostate Cancer, Testicular Cancer, Urethral sling surgery, Urinary Incontinence, Vasectomy

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, No-Scalpel Vasectomy, Prostate Cancer, Robotic surgery, Testicular Cancer, Thermal ablation of kidney masses, Urinary Incontinence, Vasectomy, Voiding dysfunction

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

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

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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