AbstractBackground: Bladder cancer is the fourth most common cancer in males and eighth most common cancer in females. It is the most common cancer of the urinary tract. Evaluating the efficacy in diagnosing bladder cancer using conventional cystoscopy versus MDTCT- virtual cystoscopy is the main aim of this study.
Materials and Methodology: All patients with clinical or ultrasound evidence of bladder masses referred to the Department of Radiology, Kamineni Academy of Medical Sciences and Research Centre, LB Nagar, for further evaluation over a period of 18 months were included in the study.
Results: A total of 75 patients were included in the study. Most of the patients were males. The average age of study is 53.6 years. The total number of lesions detected was 93 among which 60 were malignant and 33 were benign. Urothelial variant was the most common malignant lesion. CT-VC was able to detect lesions with a sensitivity of 98%. However, the sensitivity was further reduced in detecting lesions <5 mm in size.
Conclusion: CT-VC even with its own set of advantages and disadvantages, cannot completely replace conventional cystoscopy. However, it can be used in patients in whom conventional cystoscopy is contraindicated (Stricture urethra), during follow-up evaluation post treatment for bladder cancer and mapping of bladder lesions prior to conventional cystoscopy.
