What are the possible complications in the surveillance for recurrent bladder cancer?

Updated: Sep 10, 2019
  • Author: David A Levy, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Answer

Complications of surveillance cystoscopy are as follows:

  • Urinary tract infection (10%) [12]

  • Dysuria

  • Hematuria

  • Urethral stricture

  • Pain

In a patient with spinal cord injury, autonomic dysreflexia can occur as a response to bladder distention, leading to potentially life-threatening hypertension. This may be prevented with nifedipine or terazosin in some cases, but careful monitoring is requisite. Any signs of headache, tremors, or hypertension should lead to immediate cessation of the procedure and emptying of the distended bladder. For this reason, most patients with spinal cord injury should probably undergo cystoscopy in the operating room with anesthesia monitoring.


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