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Blue Light Cystoscopy

Blue light cystoscopy is a procedure that improves detection and removal of early stage bladder cancer. This method is often more accurate than a cystoscopy using white light alone.
White page with cystoscopy check box

How Blue Light Cystoscopy is Different

During a cystoscopy, the physician uses a thin, tube-like telescope to closely examine the bladder’s lining for abnormal growths or suspicious areas. If necessary, tissue samples may be removed for testing. A standard cystoscopy is done using a regular white light to help the physician evaluate the bladder. Patients with larger, non-muscle bladder cancer can be diagnosed with the help of a standard cystoscopy, but smaller tumors may be difficult to identify.

Blue light cystoscopy technology is equipped with both white and blue light. During the procedure, an optimal imaging medication is administered and absorbed by cancer cells. Under blue light, tumors and lesions appear pink against healthy tissue that appears blue.

This color contrast makes it easier for the physician to see and completely remove abnormal growths. Complete removal of the bladder cancer, thanks to blue light cystoscopy, reduces the risk of cancer recurrence.

The Benefits of Blue Light Cystoscopy

Patients experiencing symptoms of bladder cancer may experience the following benefits of blue light cystoscopy:
  • Better inspection of the bladder for cancer, especially small or flat tumors

  • Better removal of bladder tumors when they are first discovered

Illustration of bladder treated with Blue Light Cystoscopy
doctor and patient discussing blue light cystoscopy
  • Reduced risk of recurrence of bladder cancer

  • More accurate information to inform treatment of bladder cancer

Who is a Candidate for Blue Light Cystoscopy?

Blue light cystoscopy may be recommended in the following cases:

  • An initial standard cystoscopy identifies early stage bladder cancer
  • Multiple low-grade tumors
  • Re-evaluation after tumor removal or other cancer treatment
  • Blood tests indicating the presence of cancer cells
The procedure may be done to enhance transurethral resection of bladder tumor (TURBT), which is surgery to identify the stage, type, and grade of cancer. Patients should speak to their physician to find out if they could benefit from blue light cystoscopy.

What to Expect During the Procedure

Prior to cystoscopy surgery for bladder cancer, a nurse will insert a catheter tube into the patient’s bladder through the urethra. The catheter is also used to inject the Cysview® solution into the bladder. The solution will remain in the bladder for about one hour prior to the procedure.

When the procedure begins, the surgeon uses a scope to inspect the bladder first with a regular white light. Then, the surgeon repeats the inspection with blue light to identify bladder cancer cells. A biopsy will be taken in abnormal areas.

The Recovery Process

Many patients are able to go home shortly after the procedure. However, patients should plan to rest for the remainder of the day. It’s normal to experience pain or discomfort while urinating for a few days. Patients who had any bladder tissue removed during the procedure may also notice blood in their urine for a few days, a symptom called hematuria. Patients who have any difficulty urinating or experience any other side effects should speak to their physician.

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