Option without research cost
The procedure is identical to a standard biopsy: fragments from suspicious areas are taken through a flexible or rigid cystoscope under local anesthesia with forceps, and the sampling points are coagulated. The material is placed in a container with formaldehyde and given to the patient with a direction and description of the collection areas for transfer to the selected pathology laboratory (oncology clinic, reference center). After the procedure - uroantiseptic for 3 days, drink plenty of fluids. The patient brings the result for a second consultation with the clinic’s urologist to determine tactics.
Indications
- suspicious area of the mucosa during cystoscopy (redness, velvety, plaque) - exclusion of carcinoma in situ;
- positive urine cytology in the absence of a visible tumor - multifocal biopsy;
- control after TUR of the tumor and BCG therapy;
- chronic cystitis with suspicion of interstitial cystitis, leukoplakia, tuberculosis, amyloidosis;
- clarification of the nature of the formation before choosing an operation.
Results
Histology after 7–10 days indicates the presence of a tumor, its type and grade; for carcinoma in situ, BCG therapy is prescribed, for an invasive tumor - staging and TUR or cystectomy; In case of inflammatory changes, conservative treatment is selected. Biopsy is a diagnostic stage; If an exophytic tumor is detected, it is completely removed using TUR.
