We learned with husbands uro, who is a uro/oncologist, it is sometimes in the hospital and sometimes in the office. He is very conservative do, and does the first 3 month cysto on everyone as an outpatient hospital procedure. He likes to run dye into the bladder and really take a good look at bladder lining as well as kidneys and ureters. Hubby's 6 month cysto will be done in the office.
In my experience, cystoscopy (where they LOOK inside the bladder with a small camera) is normally done in the office. If there is something there that needs a closer look and a biopsy, a TURB (transurethral biopsy) is done under general anesthesia...this would usually be in a hospital outpatient facility. Of course, when anesthesia is involved, all the pre-op tests get done.
My urologist did a CT scan upon diagnosis, and then every two years thereafter.
Yes, a CT scan does involve a lot of radiation, and probably shouldn't be done unless "necessary." This is for you and your doctor to decide.
Sometimes people are a little confused about the differences between cystoscopy and TURB.
Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
For my first follow up it was done as an outpatient but that is because the uro wanted to take another biopsy and also removed some stents at that time. I did not have to get a ct scan but since I was put under I did have to have a EKG and blood work. Since that time all my cystos have been in the office with the only requirement that I give a urine sample while at his office prior to the cysto to check for cancer cells.