Just diagnosed: cystoscopy + biopsy recommended

The cystoscopy is done so that the urologist can get an "up close" look at the situation. It is possible that it is not cancer but some other type of obstruction. If the urologist does feel that it is cancer, he/she will have a much better idea of how to approach the TURB. Since cystoscopy is a barely invasive office procedure ...takes about 10 minutes, and a TURB is surgery done under general anesthesia (usually as an outpatient) it makes a lot of sense to take advantage of the information that the cystoscopy provides. It was very good that the ER sent you to a urologist, but I am sure that they left the entire explanation of the expected procedures up to the urologist. What you are having is exactly according to the current "standard of care."

I would second Alan's comment about Stanford. That is one of the best places in the US to go for suspected bladder cancer. You are in excellent hands!!

Sara Anne

Welcome,

First, you ask very good questions. CT scan, cytology and cystoscopes are normal protocols. Add Stanford and you are in great hands. Yes, if the scan shows a mass it is curious why more of us don't go straight to the TURB surgery (transurethral resection of the bladder) and get a biopsy. It might be simply that most doctors try to do the least invasive tests and treatment if possible. With a mass seen it does beg your question and there might be a reason. It could be just a "mapping" and preparation of what the doc wants to do next OR, maybe one does the scopes but not the biopsy. One thing for sure, one does not really know what we are dealing without a biopsy. Waiting is the worst part however, keep in mind this is treatable and beatable. Keep posting and others will chime in.