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Bladder biopsy

Contents of this page:

Illustrations

Bladder catheterization, female
Bladder catheterization, female
Bladder catheterization, male
Bladder catheterization, male
Female urinary tract
Female urinary tract
Male urinary tract
Male urinary tract
Bladder biopsy
Bladder biopsy

Alternative Names    Return to top

Biopsy - bladder

Definition    Return to top

Bladder biopsy is a procedure that involves removing a small piece of tissue from the bladder for examination.

How the Test is Performed    Return to top

A bladder biopsy is usually performed as a part of a cystoscopy. A small portion of tissue or the entire area of concern is removed and sent to the laboratory for analysis if:

How to Prepare for the Test    Return to top

You must sign an informed consent form before you have a bladder biopsy. Usually you are asked to urinate just before the procedure. You may also be asked to take an antibiotic before the procedure.

For infants and children, the preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics:

How the Test Will Feel    Return to top

There may be slight discomfort as the cystoscope (a lighted instrument used to look at the bladder) is passed through your urethra into your bladder. You will feel an uncomfortable sensation -- similar to a strong urge to urinate -- when the fluid has filled your bladder.

You may feel a pinch during the biopsy. There may be a burning sensation when the blood vessels are sealed to stop bleeding (cauterized).

After the cystoscope is removed, your urethra may be sore. You may experience a burning sensation during urination for a day or two.

Sometimes when the suspicious area is larger, you will need general or spinal anesthesia to remove the area in question.

Why the Test is Performed    Return to top

This test is most often performed to check for cancer of the bladder or urethra.

Normal Results    Return to top

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

What Abnormal Results Mean    Return to top

The presence of cancer cells indicates bladder cancer. The type of cancer can be determined from the biopsy sample.

Other abnormalities may include:

Risks    Return to top

There is some risk of urinary tract infection.

There is slight risk of excessive bleeding or rupturing of the bladder wall with the cystoscope or during biopsy.

Considerations    Return to top

A small amount of blood is usually passed in the urine shortly after this procedure. If the bleeding continues after the time you urinate, contact your health care provider.

Contact your health care provider if:

Update Date: 5/22/2008

Updated by: Scott M. Gilbert, MD, Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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