December 15, 2018 at 2:23 pm
I was under the understanding that Blue Light Cysview is only done during a TURBT, to make sure all suspicious/cancerous tumors have been removed .., which is after the suspicious abnormalities are found within the Bladder during a 'White Light' Cysto.......

December 15, 2018 at 4:17 pm In Reply To 8556949 By Gigi1-1
patty,

That was true until early this year, when the FDA approved Blue Light Cysview for flexible surveillance cystoscopies. However, because of time and costs, very few hospitals are using it for this. One is UT Southwestern in Dallas. Perhaps this will change over time.

December 15, 2018 at 4:36 pm In Reply To 8557037 By Ruth-6
Ruth,

I'm sorry for the side effects from your cystoscopies. Clearly, your doctor wants to protect you in the event of recurrence. Blue light is effective in detecting CIS and Ta tumors. It seems very favorable that your cytologies are Negative. Perhaps the severe swelling warrants a second opinion. Perhaps others on our site can be helpful. Good luck on the 20th!

December 16, 2018 at 4:34 pm
First, yes see a uro-oncologist. Not a community urologist, a generalist. Go to a teaching hospital at least. I don't know where you are, but NIH is an excellent resource.
Atypical is not surprising, not unusual. Suspicious is just that, and a diagnosis of follow-up cysto wouldn't surprise me. I would think .......
Next, I discussed blue light with the uro-oncologist I see at Upstate. They elected to go with a digitized, high-resolution scoping system (and camera image is seen on a screen for all to see). He said they examined issues and felt blue light had too many false positives and some false negatives. But they've also said CIS detection is an art form, you have to recognize it. If he's being scoped with the one where the physician alone looks down a scoping tool, there are better. In the end, you have to feel comfortable with what is being done so search out what feels right to you all

December 16, 2018 at 10:10 pm In Reply To 8558126 By RTHB
Both Blue and white light can produce false positives and negatives. They work together, each detecting tumors the other can miss. Blue light false positives are often found to be true when reexamined by experienced genitourinary pathologists. This is partly due to their small size. Our more serious problem is false negatives, which Blue light significantly reduces for CIS and Ta tumors.

I think Blue light can operate in a digitized system, which can provide higher resolution. I know it operates with a monitor. Illumination is better in a non-digitized system.

Economics is generally responsible for Blue light not being used, which includes equipment cost, physicians time, staffing required and o.r. time.

Extensive studies have demonstrated a reduction in recurrence with Blue light and it is highly recommended by the American and European Urological Associations.