| Summary: | Objective: To evaluate the diagnostic possibilities of multidetector computed tomography (MDCT) virtual cystoscopy (V.C.) in evaluation of urinary bladder carcinoma.
Patients and methods: This study included 55 patients with recent initial conventional cystoscopic (C.C.) assessment (at the outpatient clinics) & revealed bladder mass including the followed up patients for U.BL. mass recurrence who were referred for CT virtual cystoscopic (V.C.) evaluation. All patients underwent conventional cystoscopy within a week after the virtual examination. The virtual image, axial 2D, and C.C. reports were compared to each other and to the obtained histopathological results.
Results: Out of 93 intravesical masses depicted by C.C., 91 were depicted by V.C. (97.8%). The CT V.C. had higher sensitivity (97.8%) in comparison to that of axial 2D spiral CT (90.3%) in detection of U.BL. masses. V.C. could pass through the narrow neck diverticulae in three cases, while C.C. could not navigate through them.
Conclusion: C.C. represents the gold standard for diagnosis & local management of U.BL. carcinoma. The results of V.C. & C.C. were comparable in detection, localization & morphology description of U.BL. masses. MDCT V.C. may be alternative or complementary examination where C.C. is difficult to be performed or contraindicated.
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