Related Experiment Video
Updated: Jul 31, 2025
06:31
Probe-based Confocal Laser Endomicroscopy of the Urinary Tract: The Technique
Published on: January 10, 2013
20.9K
Clinical Utility of Rigid Blue Light Cystoscopy: Results from a Post Procedure User Survey in a Prospective
Thomas E Stout1, Subodh K Regmi1, Siamak Daneshmand2
1Department of Urology, University of Minnesota, Minneapolis, Minnesota.
Urology Practice
|May 5, 2023
Summary
Blue light cystoscopy (BLC) adoption is increasing as urologists find it more useful for bladder cancer management. Identifying more lesions with BLC, especially malignant ones, correlates with higher perceived clinical utility.
Area of Science:
- Urology
- Oncology
- Medical Imaging
Background:
- Blue light cystoscopy (BLC) is an effective tool for bladder cancer management.
- Limited adoption of BLC has been observed despite its proven efficacy.
Purpose of the Study:
- To evaluate the perceived clinical utility of BLC in urology practice.
- To identify factors associated with increased perceived utility of BLC.
Main Methods:
- Prospective multi-institutional registry of patients with noninvasive bladder cancer.
- Urologists assessed BLC utility using a 4-point Likert scale post-procedure.
- Analysis of 1,702 rigid cystoscopies performed between 2014 and 2019.
Main Results:
- Urologists reported BLC as having some utility (38.1%), moderate assistance (25.4%), or being essential (19%).
- Perceived utility increased significantly from 2014 to 2019 (p=0.006).
- Higher utility was linked to detecting more lesions solely with BLC, malignant pathology, and a greater total number of BLC-detected lesions.
Conclusions:
- The perceived clinical utility of BLC is growing, especially among high-volume urologists.
- Detecting additional lesions, particularly those missed by white light cystoscopy, enhances BLC's perceived value.
Related Concept Videos
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
124
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
124
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
93
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
93
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
46
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
46
01:26Urine Studies II: Urine Culture and Sensitivity Test
67
A urine culture and sensitivity test is a diagnostic procedure used to identify urinary tract bacterial infections and determine the most effective antibiotics for treatment. This test is generally preferred when a patient shows manifestations of a urinary tract infection, such as frequent or painful urination, cloudy or foul-smelling urine, or lower abdominal pain.Purpose of the TestThe primary goals of a urine culture and sensitivity test are to:Determine the specific bacteria causing the...
67
01:24Imaging Studies II: Ultrasonography
32
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
32