cystoscopy
(Medical Procedures and Tests)
This page provides comprehensive information about cystoscopy and how to prepare for it.
What is the Procedure?
Cystoscopy is a medical procedure that allows doctors to examine the lining of the bladder and the urethra, the tube that carries urine out of the body. The procedure involves inserting a long, thin tube with a small camera (called a cystoscope) through the urethra into the bladder.
- The type of cystoscope used depends on the reason for the procedure. It can be used to diagnose the cause of certain symptoms or to treat some bladder conditions. The procedure is performed in an examination room using local anesthesia to numb the urethra, or it may be done in a hospital under general anesthesia.
- When is Cystoscopy Performed?
- Cystoscopy is used to diagnose, monitor, and treat conditions affecting the bladder and urethra. A doctor may recommend cystoscopy for the following reasons:
- Unusual signs or symptoms such as blood in the urine, urinary incontinence, overactive bladder, or pain during urination.
To determine the cause of recurrent urinary tract infections but it is not performed during an active infection.
To diagnose bladder diseases, such as cancer, stones, or cystitis; very small bladder tumors may be removed during cystoscopy.
To diagnose prostate enlargement, as cystoscopy can reveal urethral narrowing caused by the prostate, indicating benign prostatic hyperplasia (BPH).
Sometimes a ureteroscopy may be performed at the same time, using a smaller scope to examine the tubes that carry urine from the kidneys to the bladder (ureters).
- Who is Most Likely to Undergo Cystoscopy?
- Cystoscopy is one of the most important diagnostic procedures for bladder cancer, especially in men who are over 55, smoke, and have blood in their urine.
- How to Prepare for Cystoscopy
- Inform your healthcare provider of all medications you are taking (including vitamins, herbs, and supplements) and any drug or anesthesia allergies.
- You may be asked to stop taking blood-thinning medications (including aspirin) or certain other medications for several days before the procedure, depending on the type of anesthesia you will receive.
- You may be instructed not to eat or drink for several hours before the procedure; follow the instructions carefully and ask questions if anything is unclear.
Antibiotics may be prescribed before and after the procedure, especially if your body has problems fighting infection.
You may be asked to delay urination if a urine sample is needed until the procedure.
- If you are receiving IV sedation or general anesthesia, plan for a recovery period and arrange for someone to take you home afterward.
- Frequently Asked Questions:
- What serious complications require seeing a doctor?
- Chills.
- Abdominal pain and nausea.
- Inability to urinate after the procedure.
Fever above 38.5C (101.3F).
Pain or burning during urination lasts more than two days.
- Bright red blood or large blood clots in the urine.
- What are possible side effects after cystoscopy?
- Mild bleeding from the urethra, appearing as light pink urine or on toilet paper.
Burning sensation during urination.
- Increased frequency of urination for a day or two.
- What symptoms may require cystoscopy?
- Blood in the urine.
- Urinary tract infections.
- Urinary incontinence.