Diagnosing Bladder Cancer

Because bladder cancer is highly treatable in the early stages of the disease, it's important to see your doctor if you are experiencing any unusual symptoms. Chesapeake Urology's physicians are experienced in the latest diagnostic techniques that can identify bladder cancer quickly and accurately. Your doctor will first perform a thorough history and physical exam.

Other tests you may receive on your initial visit include:

  • Urine Cytology – Examining urine cells under the microscope.

  • CT Urography – Special x-rays that include contrast dye, to view the kidneys, bladder and connecting tubes.

  • Cystoscopy – Involves inserting a thin scope into the urethra to view it and the bladder; if a mass is seen, a biopsy may be performed at that time or during more formal treatment.

  • Fluorescence in Situ Hybridization (FISH) – A urine test that looks for chromosomal abnormalities and may provide early detection of urothelial carcinoma.

  • Tumor Markers (Biomarkers) – Along with other diagnostic tests, tumor markers can aid in the diagnosis of bladder cancer, guide treatment decisions, and help to monitor treatments.


  • Blue Light Cystoscopy - Blue Light Cystoscopy, also known as Cysview®, is an innovative imaging technique that helps urologists find bladder tumors more easily than standard cystoscopy utilizing blue light technology. Learn more.

  • Narrow Band Imaging (NBI) Cystoscopy - Narrow Band Imaging (NBI) cystoscopy is an image enhancement technology with greater sensitivity for detecting bladder tumors.  The technology takes advantage of the benefits of varying wavelengths of white light without the need for dyes or drugs. Learn more.

Learn about bladder cancer staging.