Abstract: The conventional diagnosis and monitoring method of bladder cancer is white light cystoscopy. However, with the development of science and technology, the emergence of novel endoscopic imaging techniques, including fluorescence cystoscopy, narrow band imaging, optical coherence tomography, confocal laser endoscopy and so on, can improve the sensitivity for the detection of bladder cancer. The aim of new imaging modalities is to improve the detection, staging of bladder lesions and the prognosis, as an adjunct to conventional white light endoscopy.