CYSTOSCOPY WITH BLADDER BIOPSIES

During the course of your evaluation and treatment you have been found to have a lesion in your bladder and we have arranged for you to undergo biopsy of this lesion and fulguration.

What is Bladder Biopsy?

We will remove a small portion of bladder tissue where it appears to be suspicious and the tissue will then be sent to pathologist for examination.

How the Biopsy will be done?

It will be done in our office under IV sedation anesthesia.

Before the procedure:

• PLEASE DO NOT TAKE ANY BLOOD THINNING MEDICATIONS FOR 7 DAYS PRIOR TO YOUR SEDATIVE PROCEDURE (aspirin, coumadin, plavix, percentine, lovenox or Vitamin E). 
• Procedure is performed in our office under IV sedation
• We will explain the procedure to your and offer you the opportunity to ask any questions that you might have regarding procedure.
• You will be asked to sign a consent form that gives your permission to do the test.  Read the form carefully and ask any questions if something is not clear.
• You may be asked to remove some clothing and you will be given a gown to wear.
• You will be positioned on the examination table.
• You will be seen and evaluated by our anesthesia staff.
• An intravenous (I.V.) line will be inserted in your arm or hand.
• You will receive an I.V. Sedative or anesthetic, depending upon your specific situation.  Your heart rate, blood pressure, breathing and blood oxygen level will be continuously monitored during the procedure.
• After the procedure, once your blood pressure, pulse, breathing and oxygen saturation are stable and you are alert, I.V. line will be removed and you will be sent home in custody of your family members or friends.


Procedure:

After you are comfortable, cystocopy will be performed and using biopsy forceps, suspicious area in your bladder will be removed.  The biopsy site will be then fulgarated to stop the bleeding.

After the Procedure:

• Please rest at home for 48 hours
• Drink plenty of fluids
• Take all prescribed medications
• You may have small amount of blood in the urine
• You may have some pain and discomfort particularly during voiding.

Call our office if:

• There is excessive bleeding with clotts and pain
• Unable to void
• Any other questions