Bladder biopsy

How the Test is Performed:
A bladder biopsy is usually performed as a part of a cystoscopy . If abnormalities of the bladder are found, or if a tumor is grossly visible, a small portion of tissue is removed and sent to the laboratory for analysis.

How to Prepare:
You must sign an informed consent form. You will wear a hospital gown during the procedure. Make arrangements for travel from the hospital.

Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:



How it Feels:
There may be slight discomfort as the cystoscope is passed through your urethra into your bladder. You will feel uncomfortable (a strong need to urinate) when the fluid has filled your bladder. You may feel a pinch during the biopsy . After the cystoscope is removed, your urethra may be sore and a burning feeling during urination may occur for 1 or 2 days.

Risks:
There is some risk of infection.

There is slight risk of:

  • excessive bleeding from taking a biopsy
  • rupturing a bladder wall (with the cystoscope or during biopsy)



Why this Test is Performed:
This test is most often performed to check for cancer of the bladder or urethra.

Normal Values:
The bladder wall is smooth. The bladder is of a normal size, shape, and position. There are no obstructions, growths, or stones.

Abnormal Results:
The presence of carcinoma cells indicates bladder cancer; the type of cancer can also be determined from the biopsy specimen.

Other abnormalities may include disorders such as a noncancerous cysts , ulcers , and bladder diverticula .

Cost:
The estimated cost is $100.

Special Considerations:
A small amount of blood is usually passed in the urine shortly after this procedure. If the bleeding continues after the 3rd time urinating, contact the health care provider.

If pain, chills, fever, or oliguria (reduced urine output) occur, contact the urologist.


A catheter (a hollow tube, often with an inflatable balloon tip) may be inserted into the urinary bladder when there is a urinary obstruction, following surgical procedures to the urethra, in unconscious patients (due to surgical anesthesia, coma, etc.), or for any other problem in which the bladder needs to be kept empty (decompressed) and urinary flow assured.




Catheterization is accomplished by inserting a catheter (a hollow tube, often with and inflatable balloon tip) into the urinary bladder. This procedure is performed for urinary obstruction, following surgical procedures to the urethra, in unconscious patients (due to surgical anesthesia, coma, etc.), or for any other problem in which the bladder needs to be kept empty (decompressed) and urinary flow assured. Catheterization in males is slightly more difficult and uncomfortable than in females because of the longer urethra.




This is an illustration of the female urinary tract. The female and male urinary tracts are relatively the same except for the length of the urethra. The positioning in the body and relative size of the organs are also demonstrated.




This is an illustration of the male urinary tract. The female and male urinary tract are relatively the same except for the length of the urethra. The positioning and relative size of the organs are also shown.