6 doctors weighed in:

If my urologist finds bladder cancer during my cystoscopy can he just remove it right away?

6 doctors weighed in
Dr. James Krick
Urology
1 doctor agrees

In brief: Bladder cancer

Sometimes, if the lesion is quite small.
If it is a first occurence, your urologist will likely want to biopsy and wait for the pathologists interpretation before proceding with cystoscopic treatment and likely further biopsies under anesthesia.

In brief: Bladder cancer

Sometimes, if the lesion is quite small.
If it is a first occurence, your urologist will likely want to biopsy and wait for the pathologists interpretation before proceding with cystoscopic treatment and likely further biopsies under anesthesia.
Dr. James Krick
Dr. James Krick
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1 comment
Dr. Richard Sarle
Cysto in office cannot remove if lesion is larger; this procedure needs to be done in hospital or surgery center
Dr. Andrew Turrisi
Radiation Oncology

In brief: Small tumors

Can be removed at time of cystoscopy, and their invasiveness determined by pathology.
Many bladder cancers are superficial, and non-invasive, but these cannot be removed completely internally. Larger tumors may not be removed by transurethral resections. Some require pre-treatment with chemotherapy and total bladder removal.

In brief: Small tumors

Can be removed at time of cystoscopy, and their invasiveness determined by pathology.
Many bladder cancers are superficial, and non-invasive, but these cannot be removed completely internally. Larger tumors may not be removed by transurethral resections. Some require pre-treatment with chemotherapy and total bladder removal.
Dr. Andrew Turrisi
Dr. Andrew Turrisi
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Dr. Simon Kimm
Urology

In brief: No.

The cystoscopy prompted by blood in the urine is usually a flexible scope in the office without anesthesia.
If a bladder tumor is seen, a procedure has to be scheduled in the operating room with the patient under anesthesia. It is this procedure where the tumor is carefully removed to allow for staging, and biopsies may be taken.

In brief: No.

The cystoscopy prompted by blood in the urine is usually a flexible scope in the office without anesthesia.
If a bladder tumor is seen, a procedure has to be scheduled in the operating room with the patient under anesthesia. It is this procedure where the tumor is carefully removed to allow for staging, and biopsies may be taken.
Dr. Simon Kimm
Dr. Simon Kimm
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1 comment
Dr. Simon Kimm
One exception is if you have a long history of low-grade non-invasive bladder tumors, new, similar tumors may be cauterized in the office without need for a biopsy.

In brief: Yes

A number of factors may impact whether or not t tumor idenitifed during cystoscopy are removed immediately or at a later date.
These include the size, number, and location of tumor(s) that are identified. In addition, if the cystoscopy is being performed under local anesthesia in the office, your urologist will determine if he is able to do the procedure safely, adequately, and with minimal pain.

In brief: Yes

A number of factors may impact whether or not t tumor idenitifed during cystoscopy are removed immediately or at a later date.
These include the size, number, and location of tumor(s) that are identified. In addition, if the cystoscopy is being performed under local anesthesia in the office, your urologist will determine if he is able to do the procedure safely, adequately, and with minimal pain.
Dr. Howard Adler
Dr. Howard Adler
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In brief: Yes

Depending on the size of the tumor, it can be biopsied and removed in the office.
However, surgery will still be required to do a more deeper biopsy to determine if the tumor has grown into the bladder muscle. The only way to appropriately stage the cancer is to resect the lesion in the or for a definitive diagnosis.

In brief: Yes

Depending on the size of the tumor, it can be biopsied and removed in the office.
However, surgery will still be required to do a more deeper biopsy to determine if the tumor has grown into the bladder muscle. The only way to appropriately stage the cancer is to resect the lesion in the or for a definitive diagnosis.
Dr. Moez Khorsandi
Dr. Moez Khorsandi
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