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What is Cystoscopy?
Cystoscopy is a procedure in which the bladder is examined using a cystoscope. Cystoscopy is performed by a urologist or a urologic surgeon.
Cystoscopy is usually done to identify abnormalities in the bladder. It is also performed during surgeries of the urinary tract. During a cystoscopy, the urethra, prostrate, bladder, and ureters are examined.
If abnormalities are discovered during cystoscopy, surgery can be performed. Cancer, urinary tract disorders, infection and causes of pain during urination may be diagnosed during cystoscopy.
How is Cystoscopy Performed?
A cystoscope is used to perform cystoscopy. The cystoscope is a special endoscopic tube with a tiny camera attached to the end. Cystoscopes may be rigid or flexible. The doctor will determine which type of cystoscope to use depending on the purpose of the cystoscopy. The urethra is cleansed first. Then, medicine is applied to numb the lining inside the urethra. The cystoscope is then inserted into the bladder through the urethra. Water or saline water is filled in the bladder through the cystoscope. The patient is then asked to express the feeling, through which the patient’s condition is known. The bladder wall is stretched when the fluid fills the bladder. When this happens, the patient may feel the urge to urinate. However, the bladder should remain full through out the examination. Abnormal tissues are extracted through the cystoscope and sent for lab analysis.
How to Prepare for Cystoscopy?
- The doctor should be informed if the patient is:
- Allergic to any medicines and anesthesia.
- Suffering from any ailments or medical conditions, including pregnancy.
- Taking any medication
- Arrangements should be made for someone to drive the patient home
- The patient may be given medication to prevent a urinary tract infection that may result after cystoscopy.
Duration of procedure/surgery : Approximately 20 minutes
Days admitted : Cystoscopy is usually done as an outpatient procedure.
Anesthesia : The procedure is usually done under local anesthesia. General or spinal anesthesia is administered if required.
Recovery : - The patient may have blood in the urine and experience a burning sensation while urinating for a couple of days after the surgery.
- The patient is required to drink plenty of fluids to help alleviate the burning sensation and avoid a urinary tract infection.
- The urine is slightly pink in color many days after cystoscopy.
Risks : The risks involved in cystoscopy are:
- Excessive bleeding
- Infection of the bladder
- Bladder wall rupture
After care : - The patient is required to drink 4 to 6 glasses of water per day after the cystoscopy.
The patient should contact the doctor if the following symptoms of infection occur:
- Decrease in urine output
- Dribbling of urine
- Lower abdominal pain and discomfort.
- Excessive bleeding
- Testicular pain
Learn more about Cystoscopy