Cystoscopy Hospital in Bangalore

Cystoscopy (sis-TOS-kuh-pee) is a procedure used to see inside your urinary bladder and urethra — the tube that carries urine from your bladder to the outside of your body. During a cystoscopy procedure, your doctor uses a hollow tube (cystoscope) equipped with a lens to carefully examine the lining of your bladder and your urethra. The cystoscope is inserted into your urethra and slowly advanced into your bladder.

Your doctor may perform the cystoscopy in a testing room, using a local anesthetic jelly to numb your urethra. Or your doctor may perform cystoscopy as an outpatient procedure, using sedation. Another option is to do the cystoscopy in the hospital while under general anesthesia. The type of cystoscopy you'll have depends on the reason for your procedure.

Doctors use cystoscopy to diagnose, monitor and treat conditions affecting the bladder and urethra. Common reasons your doctor may recommend a cystoscopy include:

• Investigating causes of bladder signs and symptoms. Cystoscopy may help your doctor learn the causes of signs and symptoms such as blood in the urine, frequent urinary tract infections, incontinence, overactive bladder and painful urination.
• Diagnosing bladder and urinary tract diseases and conditions. A cystoscopy may be used in diagnosing bladder cancer, bladder stones and bladder inflammation (cystitis).
• Treating bladder diseases and conditions. Special tools can be passed through the cystoscope to treat a bladder disease or condition. For instance, very small bladder tumors may be removed during cystoscopy.
• Diagnosing an enlarged prostate. A cystoscopy may reveal a narrowing of the urethra where it passes through the prostate gland, indicating an enlarged prostate (benign prostatic hyperplasia).
• In certain cases, your doctor may conduct a procedure called ureteroscopy (u-ree-tur-OS-kuh-pee) to examine your urinary tract beyond your bladder at the same time as your cystoscopy. Ureteroscopy uses a smaller scope to examine your ureters — the tubes that carry urine from your kidneys to your bladder.

Cystoscopy carries a risk of complications, including:

1. Infection. Rarely, cystoscopy can introduce germs into your urinary tract, which can cause infection. Cystoscopy may also irritate an existing urinary tract infection, worsening it. In select cases, your doctor may prescribe antibiotics to take before and after your cystoscopy to prevent infection.
2. Bleeding. Cystoscopy may cause some blood in your urine. Rarely, bleeding may be serious.
3. Pain. Cystoscopy may cause abdominal pain and a burning sensation when urinating. In most cases, these symptoms are mild and gradually decrease after the procedure.

Signs and symptoms of a complication

Call your doctor or go to the nearest emergency room if you experience:

• Bright red blood in your urine
• A fever higher than 100 F (38 C)
• Pain or burning during urination that lasts more than two days

 

To prepare for your cystoscopy exam, your health care team may ask that you:

• Take antibiotics if prescribed by your doctor. In select cases, your doctor may prescribe antibiotics before and after your cystoscopy. Examples of people who may need to take antibiotics include those who have an active urinary tract infection and those whose bodies have difficulty fighting infections.
• Wait to empty your bladder. In certain situations, your doctor may order a urine test before your cystoscopy. Wait to empty your bladder until you get to your appointment in case you need to give a urine sample.
• Prepare for sedation or anesthesia
• If you'll receive an intravenous (IV) sedative or general anesthetic during your cystoscopy, plan ahead for your recovery. To prepare, you can:
• Find a ride home. You'll be asked not to drive yourself home, so arrange a ride.
• Clear your schedule for the day. Plan to take it easy after your procedure. Avoid being active for the rest of the day. You may need to take the day off work. Though you may feel fine, your judgment and reflexes may be slowed.
• Ask someone to stay nearby. Have a friend or relative stay with you or check on you throughout the day.

Results:

Ask your doctor when you can expect the results of your cystoscopy. In some cases, your doctor may be able to discuss the results immediately after your procedure.

In other cases, your doctor may discuss your results at a follow-up appointment. For instance, if your cystoscopy involved collecting a tissue sample (biopsy) to test for bladder cancer, your doctor will send that sample to a lab. When the tests are completed, your doctor will let you know the results.

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