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Related Experiment Video

Updated: May 5, 2026

An Orthotopic Model of Murine Bladder Cancer
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Patient Satisfaction with a Novel Tele-Cystoscopy Model: Expanding Access to Bladder Cancer Surveillance for Rural

Aisha O Kazeem1, William Hasken2, Terran Sims1

  • 1Department of Urology, University of Virginia, Charlottesville, Virginia, USA.

Telemedicine Reports
|August 15, 2024
PubMed
Summary

Tele-cystoscopy improves healthcare access for rural patients needing bladder cancer surveillance. This model reduces travel time and disruptions, enhancing patient satisfaction and adherence to care guidelines.

Keywords:
cystoscopyrural healthtelemedicinevideoconferencing

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Area of Science:

  • Urology
  • Health Services Research
  • Telemedicine

Background:

  • Tele-cystoscopy utilizes advanced practice providers for cystoscopy with remote urologist interpretation.
  • This care model aims to increase cystoscopy availability in underserved rural regions.
  • The study investigates population demographics and socioeconomic benefits of tele-cystoscopy for bladder cancer surveillance.

Purpose of the Study:

  • To evaluate the socioeconomic impact and patient satisfaction of tele-cystoscopy.
  • To assess the feasibility of tele-cystoscopy for bladder cancer surveillance in rural populations.

Main Methods:

  • A dual, sequential cystoscopy protocol was used under an IRB-approved plan.
  • Patients completed questionnaires on health, socioeconomic factors, and satisfaction.
  • Travel-related data (mileage, time, costs) and community economic status were analyzed.

Main Results:

  • 48 patients (mean age 55) participated; 27% were uninsured, 20% had Medicaid.
  • Tele-cystoscopy saved an average of 235 miles and 434 minutes of travel per patient.
  • 82% of patients lived in distressed communities; satisfaction scores were high (mean 31.38/32).

Conclusions:

  • Tele-cystoscopy demonstrated high patient satisfaction, improving healthcare access.
  • The model reduces disruptions, potentially increasing adherence to bladder cancer surveillance guidelines.
  • Tele-cystoscopy offers a viable solution for expanding access, especially for rural and lower socioeconomic status populations.