Blue light cystoscopy & standard cystoscopy

Is blue light cystoscopy better than standard cystoscopy?

Hello members,

Blue light cystoscopy differs from standard cystoscopy in several ways according to what I have read:

"Visual Enhancement: Blue light cystoscopy enhances the visibility of bladder tumors by using a photosensitizing agent called Cysview, which makes cancer cells glow bright pink under blue light."

"Detection of Smaller Tumors: The blue light mode allows for the detection of smaller tumors and lesions that may not be seen with standard white light cystoscopy."

"Reduced Recurrence Rates: Studies have shown that blue light cystoscopy can significantly reduce the rate of recurrence and progression of bladder cancer compared to standard cystoscopy."

"Improved Accuracy: The blue light mode provides a more accurate evaluation and removal of cancerous tissue, potentially reducing the need for total cystectomy."

"Follow-up Appraisal: Blue light cystoscopy allows for quicker follow-up after surgery or treatment, making it a more efficient diagnostic tool."
"These differences make blue light cystoscopy a valuable tool in the diagnosis and treatment of bladder cancer, offering improved outcomes for patients."
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Blue light cystoscopy is not only needed to check for inflammation after chemotherapy. It is an FDA-approved procedure used to detect bladder cancer tumors and is effective in diagnosing and treating non-muscle invasive bladder cancer. Blue light cystoscopy can help identify and remove cancerous areas more accurately, reducing the likelihood of recurrence. It is also used after treatment with chemotherapy or BCG (Bacillus Calmette-Guerin) to ensure complete removal of cancerous tissue. ~~ Penn Medicine ~~
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From the information I am gathering, it seems not all urologists have this. If blue light cystoscopy, does indeed, have a far better potential of catching these little tumors which may not be seen under a standard cystoscope, then it does sound like an invaluable diagnostic tool. Three months after my initial TURBT, five little tumors were spotted and then burned off so, of course, to possibly prevent other extremely tiny tumors from evading notice, wouldn't it be advantageous to be examined with blue light cystoscopy? Some may be so small they would be undetectable with the standard scope. I worry about this.

What to do if my trusted urologist does not use blue light cystoscopy??? If I broach the subject with him, it may become a thorny issue if he does not have it. Does this mean that for the best possible scrutiny, I will have to seek another urologist who employs this method? It then follows that I will not be able to have my present urologist treat me.

Any suggestions would be appreciated as I really am in a quandary.
Thank you in advance for your responses.