My husband is scheduled for his first post surgery cysto on April 12 th. His tumor was grade 1, ta. Our uro is excellent and we are at a large teaching hospital in Chicago. He likes to do his cystos outpatient rather than in office. He feels he can be more thorough and get a better look. BUT, he requires so much pre op stuff, CT scan, EKG, blood work, urinalysis...basically same stuff he required before initial surgery to remove tumor. Is this typical? I am concerned about radiation from CT scan, not to mention the cost. Of all this testing. Haven't gotten caught up on first round of hospital bills yet.
Any input would be appreciated. Just want to know what experiences you all have had with 3 month check up cystos. Thanks!
Mine have all been done in the office. A Cystoscopy done in the hospital will be a lot more expensive. If he finds a suspecious area while he's in the OR he can take biopsies right then. If he's had no complications or other issues to complicate a Cystoscopy it seems like overkill to me - But I'm not a Urologist.
47 yo, Ta G3
BCG induction starting 12/17/10 followed by BCG maintance.
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.
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