What is the role of upper tract imaging in the diagnosis of bladder cancer?

Updated: Feb 23, 2021
  • Author: Kara N Babaian, MD, FACS; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

In general, it may be preferable to obtain upper tract imaging with intravenous contrast for patients with hematuria prior to performing cystoscopy. If the imaging findings are positive, one may forgo office-based cystoscopy and perform the cystoscopy in the operating room. In addition, photodynamic diagnosis with hexaminolevulinate blue-light cystoscopy may be associated with fewer false negatives than white-light cystoscopies. [143, 110]


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