Your doctor will perform further tests after physical examination. These tests may include urine analysis, urine cytology (to look for cancer cells that may have been shed into the urine from the bladder lining), ultrasound study of the abdomen, contrast CT (computed tomography
) of the abdomen. CT will tell if there are other similar lesions in the kidneys and ureter. In addition to the bladder details, CT also tells us involvement of surrounding organs. In most of the cases cystoscopic examination under anesthesia (medication that puts you to sleep) is mandatory. All of the tests above may be performed by an urologist without requiring you to stay overnight in a hospital.
In cystoscopy, an endoscope (cystoscope) is inserted gently into the urethra and passed into the bladder to directly view the inside of the bladder lining. This is done under I.V. sedation. If any tumor is found you will be rescheduled for resection biopsy (TUR-BT i.e., Transurethral resection of bladder tumor) under spinal or general anesthesia. Based on the biopsy report, further treatment plan would be discussed with you.