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Surveillance Check Cystoscopy Report Template:
SURVEILLANCE FLEXIBLE CHECK CYSTOSCOPY (F.CC)
Diagnosis: NMIBC/ MIBC
Index Tumor:
Recurrences:
EAU Risk Stratification:
Intravesical therapy:
Status at last check :
CT Scan:
Procedure: Risks explained (infection, bleeding, sepsis, pain/dysuria) and verbal consent obtained Urine Dip: Findings:
Urethra: Prostate: Bladder: J-Manoeuvre:
Outcome:
The findings of the cystoscopy, their significance and the further management plan was discussed with the patient.
Plan:
- Worsening advise given, safety netting done - Explained about signs of infections (fever, shivering, nausea/vomiting, feeling unwell, dysuria) to contact GP/ seek medical attention immediately if develops these symptoms
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Surveillance Guidelines for NMIBC
Reviewed in Feb 2026
- EAU, NICE and AUA all have different criteria for risk stratification
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Surveillance Guidelines for MIBC:
Reviewed Feb 2026
- Not as standardized or as well-defined as the NMIBC guidelines. Poor consensus.
- Non-invasive recurrence after curative treatment of MIBC can be managed with TURBT with intravesical therapy or Radical Cystectomy, as deemed appropriate.