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Bladder Biopsy

(Biopsy, Bladder)

Definition

A bladder biopsy is a procedure to obtain a sample of your bladder tissue. It is usually done during a cystoscopy, a procedure that examines the bladder with a lighted scope. After the tissue is removed, it is examined under a microscope.

Cystoscopy of the Bladder

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Reasons for Procedure    TOP

Bladder biopsies are done to look for tumors when cancer is suspected. Biopsies may also be done to further investigate abnormalities of the bladder wall such as:

  • Inflammation
  • Cysts
  • Pouches
  • Ulcers
  • Polyps

Possible Complications    TOP

Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:

  • Urinary tract infections
  • Difficulty urinating
  • Pain, bleeding, or dribbling during urination
  • Frequent urination
  • Problems with leaking urine

What to Expect    TOP

Prior to Procedure

Your doctor may do a physical exam, imaging tests, or blood tests.

Before your biopsy:

  • Avoid eating or drinking for 8-12 hours
  • Talk to your doctor if you take any medications, herbs, or supplements. You may need to stop taking some medications up to 1 week before the procedure.
  • Arrange for a ride home and for someone to stay with you for the first night.

Anesthesia

Local anesthesia is used to numb the area in and around the urethra. The urethra is a tube that allows urine to drain from the bladder to the outside of the body.

A sedative may be given to help you relax.

Description of Procedure    TOP

You will lie on an exam table. A small tool called a cystoscope will be inserted into the urethra and passed into the bladder. Your bladder will be drained of urine. Next, your bladder will be filled with sterile water or saline solution to allow a better view of the bladder walls. Any suspicious tissue will be removed from the bladder wall for further testing.

How Long Will It Take?    TOP

Less than 30 minutes

How Much Will It Hurt?    TOP

You may feel some discomfort or urge to urinate when the bladder is filled during the biopsy. Pain and discomfort after the procedure can be managed with medications.

Post-procedure Care    TOP

After the procedure, you may experience a burning sensation or see small amounts of blood when you urinate. This should go away within 48 hours.

Call Your Doctor    TOP

Call your doctor if any of these occur:

  • Increasing frequency, urgency, burning, or pain during urination.
  • You are unable to urinate or empty your bladder completely.
  • Increased blood in your urine.
  • Signs of infection, including fever and chills.

If you think you have an emergency, call for emergency medical services right away.

RESOURCES:

American Cancer Society
http://www.cancer.org
Urology Care Foundation
http://www.urologyhealth.org

CANADIAN RESOURCES:

Canadian Cancer Society
http://www.cancer.ca
Canadian Urological Association
http://www.cua.org

References:

Cystoscopy. Urology Care Foundation website. Available at:
...(Click grey area to select URL)
Updated January 2011. Accessed December 9, 2014.
Cystoscopy and ureteroscopy. National Kidney and Urologic Diseases Information Clearinghouse website. Available at:
...(Click grey area to select URL)
Updated March 28, 2012. Accessed December 9, 2014.
How is bladder cancer diagnosed? American Cancer Society website. Available at:
...(Click grey area to select URL)
Updated February 26, 2014. Accessed December 9, 2014.
Q&A: What you should know before surgery. American Society of Anesthesiologists Lifeline to Modern Medicine website. Available at:
...(Click grey area to select URL)
Accessed December 9, 2014.
Last reviewed December 2014 by Michael Woods, MD
Last Updated: 12/20/2014

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