[The role and method of fluorescence-guided cystoscopy in 2011 for management of bladder cancer: Review of the Oncology Committee of the French Urology Association].
OBJECTIVE
Fluorescence-guided cystoscopy is a useful tool for bladder tumour detection in association with white-light cystoscopy and decreases the residual tumour rate. The aim of the study was to provide an overview of the pertinent literature on this subject.


METHODS
The data were provide from a Medline(®) research by using the follow keywords: urinary bladder neoplasms; cystoscopy; fluorescence; prognosis; intraepithelial neoplasm.


RESULTS
No evidence 1 level data was available. The fluorescence-guided cystoscopy improves the bladder cancer detection rate, especially the flat lesions, and improve the recurrence-free survival by decreasing the residual tumour rate. The specific indications for fluorescence-guided cystoscopy in the diagnosis and management of non-muscle invasive bladder cancer (NMIBC) should benefit the patients.


CONCLUSIONS
The fluorescence-guided cystoscopy is a benefical tool in association with white-light cystoscopy in NMIBC diagnosis. It has been shown to have a positive impact on recurrence-free survival but not on progression-free survival. More investigations with significant follow-up should be lead in the future to accurately assess its therapeutic impact on patients.
Service d'urologie du CHU Pellegrin, le tripode, université Victor-Segalen, 33074 Bordeaux, France. herve.wallerand@chu-bordeaux.fr
H
H
Wallerand
M
M
Rouprêt
S
S
Larré
N
N
Houédé
Y
Y
Neuzillet
E
E
Compérat
H
H
Quintens
G
G
Pignot
C
C
Roy
M
M
Soulié
C
C
Pfister
D002295:Carcinoma, Transitional Cell / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D003558:Cystoscopy / Q000379:methods*; D005453:Fluorescence; D005602:France; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D011237:Predictive Value of Tests; D011379:Prognosis; D012680:Sensitivity and Specificity; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D013520:Urologic Surgical Procedures