Cystoscopy: Difference between revisions

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If no tumours are visible with "normal" white light cystoscopy but the cytology is positive, one may use photodynamic diagnosis or narrow band imaging to try to detect the tumour. One can also perform a "mapping biopsy", where biopsies are taken blindly from high predilection areas.
If no tumours are visible with "normal" white light cystoscopy but the cytology is positive, one may use photodynamic diagnosis or narrow band imaging to try to detect the tumour. One can also perform a "mapping biopsy", where biopsies are taken blindly from high predilection areas.


If a tumour is visible on cystoscopy, transurethral resection of bladder (TUR-B), also called transurethral resection of bladder tumour (TURBT) may be performed, which is both diagnostic and therapeutic. This involves resecting the entire visible tumour by cystoscopy.
standard technique for tumour biopsy (if the entire tumour cannot be resected) is the method of Bressel:
 
A standard technique for tumour biopsy (if the entire tumour cannot be resected) is the method of Bressel:
 
* 1 sample from tumour
* 1 sample from tumour
* 1 sample from muscular layer of bladder
* 1 sample from muscular layer of bladder
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* 4 samples of the sides of the tumor
* 4 samples of the sides of the tumor
** To determine the border of the tumor
** To determine the border of the tumor
== Transurethral resection ==
If a bladder tumour is visible on cystoscopy, transurethral resection of bladder (TUR-B), also called transurethral resection of bladder tumour (TURBT) may be performed, which is both diagnostic and therapeutic. This involves resecting the entire visible tumour by cystoscopy.
A
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[[Category:Urology]]
[[Category:Urology]]