Cystoscopy – Recovery – NHS

You should be able to get back to normal quite quickly after a cystoscopy.

How long it takes to recover depends if you had a flexible cystoscopy (using local anaesthetic gel) or a rigid cystoscopy (under general anaesthetic or spinal anaesthetic).

Going home

After a flexible cystoscopy

You’ll be able to go home shortly after a flexible cystoscopy, once you’ve emptied your bladder.

There’s usually no need to wait in the hospital until the anaesthetic has completely worn off.

After a rigid cystoscopy

If you have a rigid cystoscopy, you’ll probably need to stay in hospital for a few hours until the anaesthetic starts to wear off.

You can go home once you’re feeling better and you’ve emptied your bladder. Most people leave hospital the same day, but sometimes an overnight stay might be needed.

You’ll need to arrange for someone to take you home as you will not be able to drive for at least 24 hours.

Getting back to normal

After a flexible cystoscopy

You can return to your normal activities – including work, exercise and having sex – as soon as you feel able to after a flexible cystoscopy.

This will often be later the same day or possibly the day after.

After a rigid cystoscopy

After a rigid cystoscopy:

• rest at home for a day or two – you may need to take a couple of days off work
• make sure someone stays with you for the first 24 hours
• do not drive or drink alcohol for at least 24 hours

You can usually return to your normal activities – including work, exercise and having sex – when you feel able to.

After effects of a cystoscopy

After a cystoscopy, it’s normal to have:

• a burning or stinging sensation when peeing
• some blood in your pee, which may turn it slightly pink
• a need to pee more often than usual

These side effects should pass after a day or two.

Drinking plenty of water during the first few days can help. You can also take painkillers such as paracetamol to reduce any discomfort.

When to get medical advice

Contact a GP for advice if:

• the pain or bleeding lasts more than a few days
• peeing is very painful
• your pee becomes so bloody that you cannot see through it
• you see red lumps (blood clots) in your pee
• you cannot empty your bladder
• your pee smells bad
• you get a high temperature
• you feel sick or vomit
• you have pain in your lower back or side

Go to your nearest accident and emergency (A&E) department if you feel really unwell.

These problems could be caused by complications of a cystoscopy, such as an infection.

Page last reviewed: 20 April 2020
Next review due: 20 April 2023

Instructions After Your Cystoscopy | Memorial Sloan Kettering Cancer Center

This information explains how to care for yourself after your cystoscopy.

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What to Expect After Your Procedure

• You may have numbness from the local anesthesia (medication that keeps you from feeling pain) that was used during your procedure. This should go away within 1 to 3 hours.
• You may feel burning when you urinate for the next 2 to 3 days.
• You may see a small amount of blood in your urine for the next 2 to 3 days. This will make your urine look pink. If you had a small tumor destroyed by fulguration (with heat from an electric current), you may also see small pieces of tissue in your urine.
• You can go back to doing your usual activities.
• When there’s no blood in your urine, you can go back to having sexual activity.

Drink at least 8 (8-ounce) glasses of liquids every day for the next few days. The liquids will help flush your bladder. This is important to help reduce the amount of bleeding you may have. It also helps prevent infection. You can limit how much you drink after 8:00 pm to avoid trips to the bathroom during the night.

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Test Results

Your urine cytology results will be available in 3 to 4 days. This test will tell us if there are cancer cells in your urine. Usually, your doctor’s office will only call you if the test results were abnormal. You can see your test results in your MyMSK (patient portal) account in about 7 days, or you can call your doctor’s office to ask.

If you had a biopsy done, the results will be available within 1 week. Your doctor’s office will usually call you with the results. You can also call the office to ask.

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Call Your Doctor or Nurse if You Have:

• Bright red blood or blood clots in your urine
• Pink urine that lasts for more than 3 days
• Burning when you urinate that lasts more than 3 days
• Pain that isn’t relieved by your pain medication
• A fever of 100.4 °F (38.0 °C) or higher
• Shaking chills
• Lower back pain
• An inability to urinate
• Little or no urine
• Any other problems or concerns

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About Your Cystoscopy in the Operating Room

This information will help you get ready for your cystoscopy (sis-TOS-koh-pee) and other related procedures at Memorial Sloan Kettering (MSK). It describes cystoscopies done in the operating room.

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About Your Cystoscopy

A cystoscopy is a procedure that lets your healthcare provider look at your urethra, bladder, and the openings to your ureters (the tubes that carry urine from your kidneys to your bladder) (see Figure 1). It’s done to look for problems in your urinary tract and bladder, such as a blockage in your urethra or tumors in your bladder.

Figure 1. Female (left) and male (right) urinary systems

A cystoscopy is done using a thin, hollow, lighted tool called a cystoscope. Your healthcare provider will put the cystoscope into your urethra and slowly move it into your bladder. Small surgical tools can be put through the cystoscope to remove stones, fulgurate (burn off) small growths, or take small samples of tissue for a biopsy.

Other procedures

During your cystoscopy, you may also have 1 or more of the following procedures:

• Transurethral resection of a bladder tumor (TURBT). During a TURBT, your healthcare provider will remove a bladder tumor using a tool that goes through the cystoscope.
• Ureteroscopy (YER-eh-ter-OS-koh-pee). During a ureteroscopy, your healthcare provider will put a thin tool called a ureteroscope through your urethra, bladder, and ureter. This procedure is done to see if there’s anything blocking or getting in the way of the flow of urine.

  Figure 2. Parts of your kidney

• Retrograde pyelogram. During a retrograde pyelogram, your healthcare provider will guide small, thin, catheters (flexible tubes) up to your kidneys through your ureters. They’ll inject contrast media through the catheters into your kidneys. Then, they’ll take x-rays of your renal pelvis and ureters (see Figure 2). The contrast media makes these areas stand out so your healthcare provider can see them better. This procedure is done to see if there’s anything blocking or getting in the way of the flow of your urine.
• Removal of stones or blood clots from your bladder.
• Placement, replacement, or removal of ureteral stents. The stents will keep your ureters open. That helps urine flow from your kidneys to your bladder. If your kidney function has improved, your healthcare provider may decide to remove the stent(s) and you may not need a replacement.

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Before Your Procedure

Ask about your medications

Tell your healthcare provider what medications you’re taking, including prescription and over-the counter medications, patches, creams, and herbal supplements. You may need to stop taking some of them before your procedure.

If you take medication to thin your blood, ask the healthcare provider who prescribes it for you when to stop taking it. Blood thinners are used to treat blood clots or to prevent a heart attack or stroke. Examples include:

• aspirin
• warfarin (Coumadin^®)
• dalteparin (Fragmin^®)
• heparin
• tinzaparin (Innohep^®)
• enoxaparin (Lovenox^®)
• clopidogrel (Plavix^®)
• cilostazol (Pletal^®)
• dabigatran (Pradaxa^®)
• apixaban (Eliquis^®)

Tell your healthcare provider if you’ve had an allergic reaction to contrast media in the past.

Arrange for someone to take you home, if needed

If you’re having anesthesia (medication to make you sleep during your procedure), you must have a responsible care partner take you home after your procedure. Make sure to plan this before the day of your procedure.

If you don’t have someone to take you home, call one of the agencies below. They’ll send someone to go home with you. There’s usually a charge for this service, and you’ll need to provide transportation.

7 days before your procedure

Follow your healthcare provider’s instructions for taking aspirin

If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your procedure. Aspirin can cause bleeding.

Follow your healthcare provider’s instructions. Don’t stop taking aspirin unless they tell you to. For more information, read Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin E.

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your procedure. These things can cause bleeding. For more information, read Herbal Remedies and Cancer Treatment.

2 days before your procedure

Stop taking nonsteroidal anti-inflammatory drugs (NSAIDs)

Stop taking NSAIDs, such as ibuprofen (Advil^®, Motrin^®) and naproxen (Aleve^®), 2 days before your surgery. These medications can cause bleeding. For more information, read Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin E.

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The Day Before Your Procedure

Note the time of your appointment

A staff member from the Admitting Office will call you after 2:00 pm the day before your procedure. If your procedure is scheduled for a Monday, they’ll call you on the Friday before.

The staff member will tell you when to arrive at the hospital for your procedure. They’ll also tell you where to go. This will be one of the following locations:

• Presurgical Center (PSC) on the 2^nd Floor
  1275 York Avenue (between East 67^th and East 68^th Streets)
  New York, NY 10065
  M elevator to the 2^nd floor
• Presurgical Center (PSC) on the 6^th Floor
  1275 York Avenue (between East 67^th and East 68^th Streets)
  New York, NY 10065
  B elevator to the 6^th floor

If you don’t get a call by 7:00 pm, please call 212-639-5014.

Instructions for eating and drinking before your procedure

• Do not eat anything after midnight the night before your procedure. This includes hard candy and gum.

• Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of water (see figure).

• Starting 2 hours before your scheduled arrival time, do not eat or drink anything. This includes water.

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The Day of Your Procedure

Things to remember

• Take a shower with soap and water. You can brush your teeth and rinse your mouth.
• Don’t put on any lotion, cream, deodorant, makeup, powder, perfume, or cologne.
• Don’t wear any metal objects. Remove all jewelry, including body piercings.
• Leave valuable items (such as credit cards, jewelry, and your checkbook) at home.
• Bring only the money you may want for small purchases (such as a newspaper).

Where to park

MSK’s parking garage is located on East 66^th Street between York and First Avenues. If you have questions about prices, call 212-639-2338.

To reach the garage, turn onto East 66^th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand (north) side of the street. There’s a tunnel that you can walk through that connects the garage to the hospital.

There are also other garages located on East 69^th Street between First and Second Avenues, East 67^th Street between York and First Avenues, and East 65^th Street between First and Second Avenues.

What to expect

Your nurse will place an intravenous (IV) line in your vein. The IV line will be used to give you anesthesia (medication to make you sleep) before and during your procedure.

Once you’re asleep, your healthcare provider will do the cystoscopy and any other procedures you’re having. They may put a urinary (Foley) catheter into your bladder at the end of your cystoscopy to help drain your urine into a bag.

Your procedure will take up to 1 hour.

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After Your Procedure

In the hospital

When you wake up, you’ll be in the Post Anesthesia Care Unit (PACU). A nurse will be monitoring your body temperature, pulse, blood pressure, and oxygen levels. They’ll also check your urine output to make sure your flow of urine isn’t blocked.

You may still have the urinary catheter in your bladder. It may be removed before you’re discharged or a few days after your procedure.

• If your catheter is removed before you go home, you must urinate before you’re discharged.
• If you go home with the catheter in place, your nurse will show you how to care for it before you go home.

Your nurse will explain your discharge instructions to you and your caregiver before you go home.

At home

• You may need to take medication(s) at home, such as antibiotics to prevent infection or medications to relieve discomfort. Follow the instructions your healthcare provider gives you.
• Don’t drive for 24 hours after your procedure.
• Ask your healthcare provider when you can go back to work.
• Drink 8 (8-ounce) glasses of liquids every day for the first 2 weeks after your procedure. Avoid drinking liquids after 8:00 pm so you don’t have to go to the bathroom during the night.
• Be sure to get plenty of rest.

Changes when you urinate

You’ll most likely have blood in your urine (hematuria) after your procedure. This should go away within 1 week.

You may also urinate more often than usual and have pain or burning when you urinate. These symptoms can last for 3 to 4 weeks, but they should slowly get better as you heal. Drinking lots of liquids will also help.

If these changes don’t get better or if they get worse, call your healthcare provider. You may have a urinary tract infection (UTI).

Urinary catheter

You may feel a strong urge to urinate while the catheter is in place. This happens because the small inflated balloon that keeps it in place may make your bladder feel full. Relaxing and letting the urine flow will decrease this urge.

Biopsy or tumor removal

If you had a biopsy or a tumor removal, you’ll have a scab inside your bladder. The scab will loosen within a month. If it loosens before the wound is completely healed, it may cause bleeding. If this happens, rest and drink more liquids. Most bleeding will stop within 3 to 4 hours, but it’s best to rest that day to help stop the bleeding.

Call your healthcare provider if the bleeding doesn’t stop or if you can’t urinate.

Urinary stents

• You may feel the stents. They usually feel like pain in your kidney (your side or middle to upper back). The pain may be worse when you urinate or exercise. Your healthcare provider may give you medication to help with the pain.
• Drink plenty of liquids while you have the stents.

Activity

• If you need to go on car trips that are longer than 1 hour for 1 week after your procedure, talk with your healthcare provider.
• Don’t lift objects heavier than 10 pounds (4.5 kilograms) for 2 weeks after your procedure.
• Don’t do strenuous exercise, such as tennis, jogging, or exercise programs, for 2 weeks after your procedure.
• You can walk and climb stairs right away after your procedure.

Follow-up care

If you had ureteral stents placed during your procedure, call your healthcare provider’s office to schedule a follow-up appointment. The stents will need to be changed every 3 to 6 months, or as instructed by your healthcare provider.

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When to Call Your Healthcare Provider

Call your healthcare provider if you have:

• Continuous bright red blood or blood clots in your urine
• Bleeding (pink urine) for more than 1 week that isn’t getting better
• Pain or burning when you urinate for more than 3 days that isn’t getting better
• Frequent urination for more than 3 days that isn’t getting better
• A fever of 101 °F (38. 3 °C) or higher
• Shaking chills
• Pain in your lower back
• An inability to urinate

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Procedure, preparation, risks, recovery, and more

A cystoscopy is a procedure that involves inserting a tool into the urethra and up into the bladder to examine these organs. The tool is a cystoscope — a thin, flexible instrument with a light and a camera on its tip.

A doctor may order a cystoscopy to investigate the cause of urethra and bladder issues, such as urgent or frequent urination, blood in the urine, or frequent urinary tract infections (UTIs).

This article describes what to expect from a cystoscopy, including how to prepare and help the body recover. We also explore the risks.

Share on PinterestA cystoscopy may help determine the cause of urethra and bladder issues.

A cystoscopy is a quick procedure that usually takes place in an outpatient environment, such as a doctor’s office. In some circumstances, a doctor performs it during a hospital stay.

In the past, all cystoscopes were rigid metal devices, but technical advances have lead to the development of flexible, softer scopes that cause less discomfort for the person, who is awake during the procedure.

Below, learn what happens at different stages of a cystoscopy.

Before the procedure

Before a cystoscopy, the person empties their bladder.

Then, they undress, put on a medical gown, and lie on an examination table. Their knees should be bent and spread apart, and their feet should rest flat on the table.

In some cases, the doctor sets up an intravenous (IV) line to provide antibiotics and a mild sedative prior to the procedure.

In most cystoscopies that take place in a urologist’s office, the person only receives a local anesthetic.

During the procedure

The doctor applies an anesthetic gel around the urethra to reduce discomfort. They then gently insert a cystoscope into the urethra.

Next, the doctor may fill the bladder with a saline solution. This helps make the walls of the bladder more visible. As the bladder fills, the person usually experiences and urge to urinate, possibly with some discomfort.

Using the camera on the cystoscope, the doctor will visually examine the bladder, and they may take a urine sample or a small tissue.

After the examination, the doctor will gently remove the cystoscope and any IV line.

A person can expect to feel some discomfort after a cystoscopy. At first, the urethra may feel numb. Over 1–3 hours, the local anesthetic wears off, and the person may feel a tingling sensation.

For the next 2–3 days, a person may experience a burning sensation while urinating. They may also notice small amounts of blood in the urine.

Experts recommend drinking plenty of fluids following the procedure to help flush out the bladder.

In most cases, a person can return to their usual activities immediately after the procedure. However, wait until any blood has cleared before having sex.

Because the person is awake during the procedure, the doctor may talk about what they’re finding. If they take samples for testing, the person should receive results within 3–4 days. In this case, another appointment to discuss the results and any next steps may be necessary.

A person who is due to have a cystoscopy will have an initial consultation with their doctor. During this, a person can raise any questions or concerns about the procedure.

They should also let the doctor know about:

• any medications that they are currently taking, especially blood thinners, anticoagulants, and immunosuppressive drugs
• any allergies or sensitivities to latex or other materials
• any bleeding disorders
• whether they are or may be pregnant
• whether they have or may have a UTI, in which case the doctor would need to postpone the procedure

Depending on the type of sedative that the doctor plans to use for the procedure, they may ask the person to fast beforehand.

If a person is due to receive a sedative, they should plan for someone to drive them to and from the cystoscopy appointment.

The cost of a cystoscopy varies from one medical practice to another.

Because a cystoscopy is a diagnostic procedure, a person’s health insurance should cover some or most of the cost.

Anyone who does not have insurance should speak with the doctor about the cost and any discounts that may be available.

A doctor may recommend a cystoscopy for several reasons — for example, to:

• determine the cause of bladder issues, such as:
• check for bladder stones
• check for narrowing of the urethra
• check for abnormal growths, such as polyps and tumors
• remove small growths or tumors
• take a cell or tissue biopsy for further investigation
• check for recurrence of previously treated tumors

The results of a cystoscopy depend on the reason for the procedure and whether, for example, it involved a biopsy.

Before the procedure, a person should ask the doctor to clarify, if necessary:

• what they are looking for
• what the results will indicate
• when to expect the results

A cystoscopy is generally safe. However, it can lead to:

• abdominal pain or tenderness
• a burning feeling during urination
• a UTI
• the formation of scar tissue in the urethra
• abnormal bleeding
• a break in the bladder wall
• an inability to urinate

Also, some people experience a reaction to the local anesthetic.

Ask the doctor about signs of complications to look out for after a cystoscopy.

The discomfort following a cystoscopy is typically mild. Over-the-counter pain relief medication can usually do the trick. However, avoid aspirin, as it can exacerbate bleeding.

The National Institute of Diabetes and Digestive and Kidney Diseases provide additional tips for relieving the discomfort:

• taking a warm bath
• holding a warm, damp washcloth against the opening of the urethra
• drinking 16 ounces of fluid each hour for 2 hours following the procedure

A cystoscopy helps a doctor diagnose issues with a person’s bladder or urethra. The procedure involves inserting a thin, flexible tube-like tool into the urethra and up into the bladder. The tip of this tool contains a tiny camera that allows the doctor to view the organs.

The procedure is relatively quick, and most people can return to their usual activities on the same day. However, people who require a sedative may take slightly longer to recover.

A person can expect to experience some temporary discomfort following a cystoscopy, and they may see blood in their urine.

If the discomfort or any accompanying issues cause concern, notify the doctor. A cystoscopy can cause complications that require medical attention.

Purpose, Procedure, Side Effects, Risks

What Is a Cystoscopy?

A cystoscopy is a test to check the health of your urethra and bladder. You might also hear it called a cystourethroscopy or, more simply, a bladder scope.

It’s an outpatient test, which means you can get it at your doctor’s office, a hospital, or clinic and go home the same day. The doctor inserts a tube into your urethra. If you’re a man, the opening is at the end of your penis. If you’re a woman, it’s just above your vagina. The test lets your doctor check the complete length of your urethra and the bladder for polyps, narrow areas called strictures, abnormal growths, and other problems.

Why Do You Get a Cystoscopy?

This test can help your doctor:

How Does the Test Work?

Cystoscopes are tube-shaped tools. They have lights and cameras that let your doctor examine the interior of your urinary tract. There are two types of cystoscopes: a standard rigid cystoscope and a flexible cystoscope. The choice of which scope to use depends on the purpose of the exam.

What to Expect During Cystoscopy

The procedure generally takes about 15 to 20 minutes.

• You’ll need to pee first. The test is done with an empty bladder.
• You’ll lie down. The position depends on the type of scope your doctor uses:
  • Standard rigid cystoscope. You’ll lie on your back with your knees up and apart. Your feet will probably be in stirrups.
  • Flexible cystoscope. No special position is needed. The doctor will help you find a comfortable position.
• You’ll get medicine. You might get a drug to make you sleepy. The doctor will call this a sedative. Or you could get a general anesthetic to help you sleep through the entire procedure.
• Your doctor inserts the scope. They’ll clean your urethra and numb the area. The scope goes through the urethra and into your bladder. They’ll use the smallest scope possible. They might need to use a bigger one to take samples or bring surgical tools into your bladder.
• The doctor examines your urethra and bladder. The cystoscope has a lens on the end that works like a telescope. It makes it easier for the doctor to see inside your body. They might put a video camera over the lens to project images onto a screen.
• The doctor fills your bladder. They put water or saline in through the cystoscope. When your bladder is full of water, it stretches. This lets the doctor see your entire bladder wall. They’ll ask you how it feels when it’s full.
• The doctor takes tissue samples. If an area looks abnormal, the doctor will use the cystoscope to cut a small piece that they can send to the lab for analysis. They’ll call this a biopsy or tissue sample.

Is a Cystoscopy Painful?

You may feel discomfort when the cystoscope goes into the urethra and bladder. You’ll probably feel a strong need to pee when your bladder gets full. You may feel a slight pinch if the doctor takes a biopsy.

After the procedure, your urethra may be sore and it might burn when you pee for a day or two.

What Are the Complications of Cystoscopy?

The risks of having a cystoscopy include:

• Infection
• Bleeding from biopsy area — it will show up in your pee
• Bladder wall rupture
• Hyponatremia — a change to the natural balance of sodium in your body

Contact your doctor if you notice any of the following after the cystoscopy:

• Severe pain where the scope went in
• Chills
• Fever
• Peeing less than usual

Test, Procedure, What to expect

Overview

What is a cystoscopy?

Your healthcare provider may use a cystoscopy to view the inside of the bladder and urethra. The bladder stores urine until it flows out of the body through a tube called the urethra.

A urologist, or urinary tract specialist, performs a cystoscopy. For the procedure, your doctor uses a cystoscope, a pencil-sized lighted tube with a camera or viewing lens. A cystoscopy helps specialists diagnose, and sometimes treat, urinary tract problems.

Who might need a cystoscopy?

Your healthcare provider may recommend a cystoscopy if you experience:

Why do healthcare providers perform cystoscopies?

Urologists use cystoscopies to diagnose and treat urinary tract problems. A cystoscopy can diagnose:

Treatments using cystoscopy

Your doctor may also use a cystoscope to:

• Get urine samples from ureters (the ducts that carry urine from the kidneys to the bladder).
• Inject dye for an X-ray procedure that tracks urine flow.
• Inject medication to stop urine leakage.
• Remove a ureteral stent (a tiny tube that holds open a ureter) placed during an earlier procedure.
• Remove bladder stones, abnormal tissue, polyps or tumors.
• Take small pieces of bladder or urethral tissue to biopsy (examine in a lab).
• Treat urethral strictures (narrowing) or fistulas (holes that form between two areas).

What are the types of cystoscopies?

There are two types of cystoscopes. Your healthcare provider will use the one that works best for your specific procedure.

• Rigid: These cystoscopes don’t bend. Your doctor may pass instruments through the tube to perform biopsies or remove tumors.
• Flexible: Your doctor may use a bendable scope to examine the inside of the bladder and urethra and make a diagnosis.

Test Details

How should I prepare for a cystoscopy?

Depending on the reason for the cystoscopy, you may have an outpatient procedure (go home the same day) or stay overnight in the hospital.

For most diagnostic procedures, your doctor uses a numbing gel so you don’t feel pain in your urethra. For a more invasive treatment cystoscopy, you may need sedation or general anesthesia. If you get sedation or general anesthesia, someone should drive you home after the procedure.

Follow your healthcare provider’s instructions on what to do before the procedure. You may need to not eat or drink for several hours before getting anesthesia. Your preparation will depend on the anesthesia type and why you’re having the cystoscopy. Generally, you will:

• Give a urine sample the day of the procedure to check for a UTI. If you have an infection, you’ll need treatment before you can get a cystoscopy.
• Urinate immediately before the procedure.
• Bring an updated list of medications and supplements.
• Stop taking blood-thinning medications, such as aspirin and warfarin (Coumadin®), but check with your provider before doing so.
• Tell your doctor if you might be pregnant. Regional and general anesthesia can harm an unborn baby.

How is a cystoscopy performed?

A cystoscopy may feel uncomfortable, but anesthesia keeps you from feeling pain. A diagnostic cystoscopy usually only takes about five minutes, but may take a little longer. If you’re having a biopsy or treatment, the procedure may take longer.

During a cystoscopy, your doctor:

• Slides a lubricated cystoscope through the urethra to the bladder.
• Injects sterile salt water through the cystoscope into the bladder. A stretched, full bladder makes it easier to see the bladder lining. You may feel like you need to pee.
• Looks at the inside of the bladder and urethra.
• Inserts small instruments through the cystoscope. Your provider uses these tools to remove tissue samples or tumors, if needed.
• Drains the injected liquid from the bladder or asks you to empty your bladder in the restroom.

What should I expect after a cystoscopy?

You may have belly pain, blood-tinged urine or pain when peeing for the first day or two after the procedure. You may also feel like you need to pee often and urgently. These problems should fade within 48 hours.

Your doctor may prescribe an antibiotic to prevent infection. To ease side effects, you can:

What are the potential risks or complications of a cystoscopy?

A cystoscopy is a relatively low-risk procedure. Potential complications include:

• Bladder infection, perforation or spasms (painful cramps and urine leakage).
• Urethral scarring, narrowing or trauma.
• UTI.

Results and Follow-Up

When should I get my test results?

If you had a biopsy, it may take up to two weeks for your doctor to get the results.

When should I call the doctor?

Most post-procedure problems like painful urination and blood-tinged urine clear up within 48 hours. You should call your healthcare provider if problems last longer or you experience:

• Severely painful urination.
• Significant amount of blood or blood clots in urine.
• Painfully full bladder and inability to urinate.
• Signs of infection (fever, pelvic pain, strong-smelling or cloudy urine).

A note from Cleveland Clinic

A cystoscopy can help you find out what’s causing certain urinary tract problems. Your doctor may also perform a cystoscopy to treat some urinary tract conditions. A cystoscopy can be uncomfortable, but shouldn’t be painful. If needed, you and your healthcare provider can discuss treatment options based on findings from the procedure.

What is it, Procedure & Recovery

Overview

What is a cystolitholapaxy?

A cystolitholapaxy is a surgical procedure used to treat bladder stones, which are hard deposits of minerals that can form inside the bladder. During a cystolitholapaxy, an instrument called a cystoscope is inserted into the bladder to locate the bladder stone or stones. The cystoscope is a like a tiny telescope. A laser is used to break up the stones into smaller fragments which are then removed.

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Procedure Details

What are the types of cystolitholapaxy procedures?

There are two different cystolitholapaxy procedures:

• Transurethral cystolitholapaxy: This is the surgical procedure used most often to treat bladder stones in adults. It is performed under general or local anesthesia. The cystoscope is inserted into the bladder through the urethra and stones are removed.
• Percutaneous suprapubic cystolitholapaxy: This procedure is used in cases where transurethral cystolitholapaxy would not be suitable or effective. The surgery is performed under general anesthesia. The procedure requires one incision (approximately 1cm) in the skin of the lower abdomen and a hollow tube (sheath) is placed through which the cystoscope is inserted and stones removed.

Percutaneous suprapubic cystolitholapaxy is the preferred method when treating children with bladder stones. The urethra is narrower in children and it is more difficult to insert a cystoscope. This technique is also used for adults with large bladder stones.

Risks / Benefits

What are the complications of cystolitholapaxy?

Urinary tract infections are the most common complication associated with a cystolitholapaxy. About 1 in 10 people develop urinary tract infections (UTIs) after bladder surgery. UTIs may be treated with antibiotics.

In rare cases, perforation (tearing) of the bowel may occur during a percutaneous suprapublic cystolitholapaxy. Delayed scar formation in the urethra or bleeding are other rare complications. Other possible complications associated with any type of surgery may occur, including formation of blood clots in the lungs or legs, infections or bleeding.

Recovery and Outlook

What should a patient expect after a cystolitholapaxy?

A catheter may be inserted into the urethra or bladder to drain urine from the body after the operation. It usually remains in place for 24 to 48 hours, but the amount of time may vary. You may feel discomfort while passing urine for two or three days after returning home. There may be a small amount of blood in the urine. It’s OK to take medicine to relieve pain or discomfort.

It may take about a week to recover from a cystolitholapaxy. Plan to take one to two weeks off work, and more time if your job requires physical activity or heavy lifting.

Drink plenty of water while you’re recovering. Try to drink about eight glasses of water or liquids per day.

Contact your doctor if you:

• Develop a fever.
• Have severe pain while urinating.
• Have heavy bleeding.
• Can’t pass urine.

What is the outlook for patients after a cystolitholapaxy?

You should schedule a follow-up appointment with your doctor about a month after the procedure. X-rays or a CT scan may be performed to ensure that the bladder stones have been completely removed. Some patients may need to undergo another surgical procedure called an open cystotomy, if the cystolitholapaxy was not successful in removing the bladder stones.

Bladder stones can come back unless the underlying condition that caused them is treated. Discuss possible treatment options with your doctor.

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About cystoscopy performed in the operating room

This information will help you prepare for cystoscopy and other related procedures at Memorial Sloan Kettering (MSK). This is a description of cystoscopy performed in the operating room.

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About cystoscopy

A cystoscopy is a procedure that allows a healthcare professional to examine your urethra, bladder, and the orifices of the ureters (the tubes that drain urine from the kidneys into the bladder).picture 1). It is done to look for problems in the urinary tract and bladder, such as an obstruction of the urethra or a tumor in the bladder.

Figure 1. Female (left) and male (right) urinary systems

Cystoscopy is performed using a thin, hollow, illuminated instrument called a cystoscope. The healthcare professional will insert a cystoscope into your urethra and slowly move it into your bladder. Small surgical instruments can be inserted through the cystoscope to remove stones, cauterize small growths, or take tissue samples for biopsies.

Other procedures

During a cystoscopy, you may also have one or more of the following procedures:

• Transurethral resection of the bladder tumor (TURBT) . During TURBT, a healthcare professional will remove the tumor in the bladder with an instrument inserted into the cystoscope.
• Ureteroscopy . During a ureteroscopy, a healthcare professional will insert a thin instrument called a ureteroscope into the urethra, bladder, and ureter. This procedure is done to see if something is blocking the flow of urine.

  Figure 2. The structure of the kidney

• Retrograde pyelogram . During a retrograde pyelogram, a healthcare professional will insert small, thin catheters (flexible tubes) through the ureters towards the kidneys. A contrast agent will be injected into your kidneys through catheters. X-rays of the renal pelvis and ureters are then taken (see Figure 2). Thanks to the contrasting environment, these areas will be clearly visible and the healthcare professional will be able to see them better. This procedure is done to see if something is blocking the flow of urine.
• Removal of stones or blood clots from the bladder .
• Installation, replacement or removal of ureteral stents .With the help of stents, the ureters will remain open. This will help drain urine from the kidneys into the bladder. If your kidney function has improved, your healthcare provider may decide to remove the stent (s) and you may not need to replace them.

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Before procedure

Ask your doctor about any medications you are taking

Tell your healthcare provider what medications you are taking, including prescription and nonprescription drugs, patches, ointments, and herbal supplements. You may need to stop taking some of these before your procedure.

If you are taking medication to thin your blood, such as to remove blood clots or to prevent a heart attack, ask your healthcare provider when you should stop taking it. These drugs include aspirin, warfarin (Coumadin ^® ), dalteparin (Fragmin ^® ), heparin, tinzaparin (Innohep ^® ), enoxaparin (Lovenox ^® ), clopidogrel (Plavix ^® ) (cilostazaz Pletal ^® ), dabigatran (Pradaxa ^® ) and apixaban (Eliquis ^® ).

Tell your healthcare provider if you have had an allergic reaction to contrast media in the past.

Arrange for someone to take you home if necessary

If anesthesia is to be used (medication that will make you fall asleep during the procedure), you must have a responsible escort to drive you home after the procedure. Agree on this in advance, before the day of the procedure.

If you are unable to find someone to take you home, call one of the agencies below. You will be provided with an escort who will take you home. These services are usually chargeable and you will need to provide transportation.

7 days before the procedure

Follow your healthcare provider’s instructions when taking aspirin

If you are taking aspirin and any medicines containing aspirin, you may need to change your dose or not take them within 7 days of your procedure. Aspirin can cause bleeding.

Follow your healthcare provider’s instructions. Do not stop taking aspirin unless directed to do so. Read our resource Common Medicines Containing Aspirin and Other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) for more information.
…

Stop taking vitamin E, multivitamins, herbal remedies and other dietary supplements

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your procedure.These medicines can cause bleeding. For more information, read our resource Herbal Remedies and Cancer Treatments.

2 days before the procedure

Stop taking nonsteroidal anti-inflammatory drugs [NSAIDs].

Stop taking NSAIDs such as ibuprofen (Advil ^® , Motrin ^® ) and naproxen (Aleve ^® ) 2 days before surgery. These medicines can cause bleeding.For more information, read the resource Common Medicines Containing Aspirin and Other Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
. ..

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The day before the procedure

Record the appointment time

The Admitting Office will call you after 2:00 pm the day before your procedure. If your procedure is scheduled for a Monday, you will be called on the Friday before.

You will be told what time you should arrive at the hospital for your procedure. They will also tell you where to go. The operation will be carried out at one of the following addresses:

• ^{Presurgical Center (PSC) on the 2nd floor
  1275 York Avenue (between East 67 th Street and East 68 th Street)
  New York, NY 10065
  , elevator M, 2 th floor}
• ^{Presurgical Center [PSC] on 6th Floor
  1275 York Avenue (between East 67 th Streets and East 68 th Streets)
  New York, NY 10065
  Elevator B to 6th floor}

If no one contacts you by 19:00, please call 212-639-5014.

Instructions for eating and drinking before the procedure

• Do not eat after midnight the day before your procedure. This also applies to candy and chewing gum.

• Between midnight and two hours before your scheduled arrival time at the hospital, you may not drink more than 12 ounces (350 ml) of water.picture).

• Avoid eating or drinking two hours before your scheduled hospital arrival time. This also applies to water.

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Day of the procedure

Points to Remember

• Shower with soap and water. You can brush your teeth and rinse your mouth out.
• Do not use any lotion, cream, deodorant, makeup, powder, perfume or cologne.
• Do not wear metal objects. Remove all jewelry, including body piercings.
• Leave valuables at home (such as credit cards, jewelry, and a checkbook).
• Take only the amount of money that you may need for small purchases (for example, to buy a newspaper).

Where to park

MSK Garage is located at East 66 ^th Street between York Avenue and First Avenue. For parking prices, call 212-639-2338.

To enter the garage, turn East 66 ^th Street from York Avenue. The garage is located approximately a quarter block from York Avenue, on the right (north) side of the street. A pedestrian tunnel leads from the garage to the hospital.

There are other garages located at East 69 ^th Street between First Avenue and Second Avenue, East 67 ^th Street between York Avenue and First Avenue, and East 65 ^th Street between First Avenue and Second Avenue.

What to Expect

Your nurse will give you an intravenous (IV) line. It will administer anesthesia (medication to make you fall asleep) before and during the procedure.

When you fall asleep, your health care provider will perform cystoscopy and other procedures that are prescribed for you. He may insert a urinary catheter (Foley) at the end of the cystoscopy to drain the urine into a bag.

The procedure will take no more than 1 hour.

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After procedure

Hospital

You will wake up in the Post Anesthesia Care Unit (PACU).The nurse will monitor your body temperature, heart rate, blood pressure, and oxygen levels. She / he will also check the urine flow to make sure nothing is interfering with him.

You may still have a urinary catheter. It may be removed before you go home or a few days after your procedure.

• If the catheter is removed before you can go home, you will need to urinate on your own.
• If you go home with a catheter, the nurse will show you how to care for it before leaving.

The nurse will give you and your caregiver post-discharge guidelines before you go home.

Houses

• You may need to take medications at home, such as antibiotics to prevent infection, or medications to relieve discomfort. Follow all instructions from your healthcare provider.
• Do not drive for 24 hours after your procedure.
• Check with your healthcare provider when you can go home.
• Drink 8 glasses (8 oz. (240 ml)) of liquid daily for the first two weeks after your procedure. Don’t drink liquids after 8:00 pm so you don’t have to go to the bathroom at night.
• Get enough rest.

Changes in urination

After the procedure, there is a high probability that there will be blood in your urine (hematuria). It will disappear within 1 week.

You may also urinate more often than usual and experience pain or burning while urinating. These symptoms can last 3-4 weeks, but they will diminish as you recover. Drinking enough fluids will help.

If symptoms persist or worsen, call your healthcare provider. You may have a urinary tract infection (UTI).

Urinary catheter

You may feel a strong urge to urinate while you have a catheter in place. This is due to the fact that the catheter is held in place by a small balloon filled with air, which can make the bladder feel full.To relieve this feeling, relax and let the urine flow.

Biopsy or tumor removal

If you have a biopsy or a tumor removed, a crust forms inside your bladder. It will come down within a month. If the crust comes off before the wound is completely healed, you may experience bleeding. If this happens, stay calm and drink plenty of fluids. Most bleeding will stop within 3-4 hours, but it is best for you to remain calm throughout the day to help stop the bleeding.

If the bleeding does not stop or you are unable to urinate, call your healthcare provider.

Urinary stents

• You can feel the stents. They usually feel like pain in the kidney (in the side or mid to upper back). The pain may worsen during urination or exercise. Your healthcare provider can give you pain relief medication.
• Drink plenty of fluids while you have stents in place.

Physical activity

• If you need to drive for more than 1 hour within 1 week after your procedure, please discuss this with your healthcare provider.
• Do not lift objects heavier than 10 pounds (4.5 kilograms) for 2 weeks after your procedure.
• Avoid strenuous physical activity such as playing tennis, running or exercising for 2 weeks after the procedure.
• You can walk and climb stairs immediately after the procedure.

Aftercare

If you received ureteral stents during your procedure, call your healthcare provider’s office to make an appointment for follow-up. Stents will need to be replaced every 3-6 months or as directed by a healthcare professional.

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When should you contact your healthcare provider?

Call your healthcare provider if you have:

• Continuous appearance of bright red blood or blood clots in the urine;
• bleeding (pink urine) did not improve after 1 week;
• Pain or burning sensation when urinating does not improve after 3 days;
• Frequent urination, which did not become less frequent after 3 days;
• temperature 101 ° F (38.3 ° C) or higher;
• tremendous chills;
• back pain;
• you cannot urinate.

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90,000 what is it, preparation, how it is done, contraindications – articles about health

Table of Contents

Bladder cystoscopy is an endoscopic examination, that is, a visual examination of the walls of the urethra, bladder and ureteral exits using optics in order to identify pathology. It is a diagnostic procedure, however, it makes it possible to target biomaterial sampling (simultaneous biopsy) upon detection of pathological foci, administration of drugs.

The study allows not only to examine the bladder cavity, but also to evaluate the functions of each kidney separately by the nature of the discharge from the right and left ureters, since they open into the bladder and are well visualized during the procedure; can be used as an auxiliary method for the diagnosis of prostatitis, adenoma and adenocarcinoma of the prostate – thus the medical indications for cystography are quite wide.

When is it held?

The procedure can be prescribed at any age and is the main diagnostic method for certain diseases of the genitourinary system, when safer methods of research (ultrasound, radiation, magnetic resonance imaging) do not provide the necessary information, as well as, if necessary, taking biomaterial from the foci of inflammation for histological examination / neoplasms, foreign bodies (obtaining samples of urinary stones in order to clarify their composition for the appointment of the correct treatment and diet). When calculi (stones) are found, small formations can be destroyed and removed using an endoscope, polyps can be removed and sent for analysis.

In the presence of ulcerative lesions of the mucous membrane, electrocoagulation (cauterization) of the damaged areas can be done.

It is also possible to obtain a discharge from each ureter in order to assess renal function, diagnose inflammation (infectious or autoimmune, unilateral or bilateral). This is especially important when planning an operation to remove one of the kidneys, when the functional state of the remaining kidney will play a decisive role.

With tumors and inflammatory diseases of the prostate, cystography of the bladder in men will help to determine the extent of the process to the surrounding tissues, the degree and nature of the involvement of the bladder and urethra in the pathological process.

Reading:

• Cystitis and urethritis – pain, burning and cramps during urination, pain in the lumbosacral spine, frequent urge to go to the toilet with small portions of excreted urine
• Tumors of the bladder – symptoms similar to cystitis, but abnormal cells were found on examination of a smear from the urethra or urine
• Prostatitis, adenoma and adenocarcinoma of the prostate – frequent urge to urinate, feeling of incomplete emptying of the bladder, urinary incontinence / retention, nocturia (frequent urge to go to the toilet at night)
• Sexual disorders in men (male infertility) – to assess the condition of the seminal tubercle
• Suspected urolithiasis with localization of stones in the bladder – pain and cramps in the lower abdomen, difficult painful urination in small portions, a feeling of insufficient emptying of the bladder, clouding of urine to a whitish hue, the appearance of salt crystals in the urine (crystalluria)
• Enuresis – bedwetting (urination occurs during sleep) in the absence of mental and neurological pathologies
• Pyuria – excretion of pus in the urine (appearance of foreign light clots in the liquid, turbidity)
• Hematuria – impurities of blood in the urine (change in the color and transparency of the liquid, the appearance of blood clots) in the absence of injuries
• Developmental abnormalities of the genitourinary system or suspicion of them – to assess the volume and shape of the reservoir and urinary tract
• Evaluation of the effectiveness of treatment

Contraindications

Contraindications mean that cystoscopy in these cases is indicated only if other methods are uninformative.

• Acute inflammatory processes in the bladder (acute cystitis), urethra (acute urethritis), prostate (acute prostatitis), testes (acute orchitis) – in men, uterus and appendages – in women, during fever
• Urethral bleeding of unknown etiology
• Injury of the urethra and bladder
• Violation in the hemostasis system (hemophilia)
• Pregnancy

Cystoscopy treatment

Despite the fact that cystoscopy is a diagnostic procedure, with its help, as with almost all endoscopic examinations, it is possible to perform some therapeutic manipulations:

• Crushing and removal of small stones
• Removal of polyps, small tumors with their further examination with simultaneous coagulation of wound surfaces
• Coagulation of erosions and ulcers lost, urinary bladder
• Removal of clots or foreign bodies and restoration of patency of the urinary tract in case of obstruction with blood, pus or small calculi
• Administration of medicinal solutions, flushing of the bladder and urethra (flushing waters are also collected for research)

How to Prepare?

Cystoscopy under anesthesia will require an early (10-12 hours before) refusal of food and liquids (3-4 hours), after the procedure it will take time to recover, so it is not recommended to use personal transport and engage in potentially dangerous activities requiring concentration.

Cystoscopy without anesthesia does not require any special preparation: it is enough to arrive on an empty stomach, having performed a genital toilet before leaving the house. Empty the bladder before the procedure.

The choice of the type of anesthesia will depend on the indications: cystoscopy under anesthesia or “in sleep” is indicated for highly excitable or mentally unstable patients. Anesthesia can be both general and spinal (only the lower half of the body loses sensitivity, from the lower back, consciousness is preserved).

Since the structure of the male urethra is somewhat more complicated (it is up to 6 times longer than the female), spinal or general anesthesia is more often recommended for cystoscopy in men in order to eliminate pain. Anesthesia can also be recommended if a prolonged examination is expected, removal of multiple neoplasms, or if the subject’s bladder has a small (150 ml or less) capacity.

How is the procedure

• Before the start of the diagnosis, the examinee is given a sterile gown, he is asked to undress and lie on the couch on his back, bending his knees, explain how the study will proceed and what sensations will arise during this
• The external genitals are treated with antiseptic solutions, the endoscope is lubricated with glycerin to improve gliding. Men are injected with an anesthetic into the urethra with a syringe with a rubber tube and held with a clamp until the onset of pain relief (about 10 minutes)

The technique used will vary depending on the type of instrument. Rigid and flexible endoscopy is distinguished.

• Rigid endoscopy of the bladder is performed using a rigid endoscope on a long (30 cm) metal tube. Such an endoscope straightens tissue well, simplifying examination, but it is more traumatic and causes more discomfort to the subject, especially men.A rigid endoscope is not used in the presence of large tumors of the pelvic organs, pregnancy. With rigid cystoscopy, an endoscope tube is inserted into the urethra and fluid is supplied to the bladder, which simultaneously flushes it and straightens the folds of the mucous membrane, improving visualization. To supply and drain fluid, a two-way valve is connected to the endoscope tube, since if there is pus or blood in the cavity that cloud the medium, the organ will need to be rinsed before examination. Wash water is collected for analysis

• Flexible Endoscopy uses a flexible endoscope – a flexible, thin tube made of polymer material with optics and a lamp at the end.The device follows the bends of the body and therefore can easily penetrate into hard-to-reach places, which makes the examination quite informative. This method allows you to minimize injuries and eliminate pain during the procedure. In modern diagnostics, flexible cystoscopy is gradually replacing the rigid

Cystoscopy for different patients

Cystoscopy of the urinary bladder in women . As a rule, cystoscopy in women is not difficult and does not require general anesthesia, since the female urethra is straight and short (up to 5 cm).For anesthesia, a local anesthetic is applied to the endoscope tube. Difficulties arise in the presence of large tumors of the uterus or late pregnancy, when the uterus compresses the bladder and changes its configuration. In this case, the use of flexible endoscopy is indicated. Examination during pregnancy is performed only for health reasons, since any intervention on the pelvic organs can provoke a spontaneous abortion.

Cystoscopy of the urinary bladder in men . A man’s urethra is 17 to 22 cm long, so examination requires special care and experience from the endoscopist, especially at the stage of inserting the instrument. During the procedure, an anesthesiologist must be constantly present in the operating room, who can anesthetize the patient if he experiences severe pain during the procedure.

For children, cystoscopy of the bladder is performed only with a flexible children’s endoscope, which is much thinner than an adult, and only by an experienced pediatric diagnostician.

Consequences of procedure

After the termination of the effect of the anesthetic, patients usually experience slight discomfort and burning sensation in the urinary tract, aggravated by urination (especially after cystoscopy in men), and frequent urge to use the toilet. Light pink mucus may be released after using a rigid endoscope. To reduce pain, it is recommended to increase the amount of fluid consumed (which, in turn, will reduce the concentration of urine), apply a single pain reliever.

If the symptoms do not go away within three days or they are accompanied by the release of fresh blood, chills, fever, you must immediately return to the clinic or call a doctor.

Advantages of the procedure in MEDSI:

• With a high reputation of the doctors of the clinic, the price of cystoscopy is at the level of the average cost of services in private clinics in Moscow
• Territorial availability
• Opportunity to conduct an examination and get specialist advice in the same branch before and after the procedure
• Prevention and control of complications, hospitalization at will or according to indications in a hospital clinic
• Experienced diagnosticians with extensive experience, availability of pediatric specialists
• Tactful staff, technical and courteous service

To make an appointment, call the round-the-clock phone: 8 (495) 7-800-500

Cystoscopy – how to perform, what is

Cystoscopy is an endoscopic method for diagnosing diseases of the bladder. The procedure consists in examining the bladder using a special instrument – a cystoscope. The cystoscope is inserted into the bladder through the urethra (urethra). The remaining urine is released. The bladder is filled with sterile saline. After this, a thorough examination of the bladder mucosa is carried out.

During cystoscopy, you can obtain a urine sample for analysis, as well as obtain a small piece of tissue for examination (biopsy) or carry out medical manipulations – removal of bladder tumors, destruction and removal of stones, obstructions in the bladder, stopping bleeding from the bladder Source:
Utegaliev B.I. Cystoscopy / B.I. Utegaliev // Bulletin of Surgery of Kazakhstan. – 2010. – No. 3. – P. 85..

Indications for cystoscopy

Cystoscopy is performed in order to establish a diagnosis when:

• interstitial and interstitial cystitis;

90,017 frequent exacerbations of cystitis;

90,017 blood in the urine;

• urinary incontinence or overactive bladder;
• identification of atypical cells in the analysis of urine;
• the need for bladder catheterization;
• painful urination;

90,017 chronic pelvic pain;

• urinary retention due to enlargement of the prostate gland;
• stricture or narrowing of the urinary tract;

90,017 stones in the urinary tract, polyps or tumors of the urinary tract;

• Difficulty or frequent urination.

Contraindications for cystoscopy

Local contraindications:

• inflammatory diseases of the urinary bladder in the stage of exacerbation;
• inflammatory diseases of the urethra in the acute stage.

General contraindications:

• renal failure in the stage of decompensation;
• liver failure in the stage of decompensation;
• myocardial infarction;
• pregnancy.

Preparation for cystoscopy

Before performing cystoscopy, the specialist processes the patient’s external genitalia and sterilizes the medical device. This allows you to exclude the introduction of infection. For a quality examination, the bladder must be filled. If the patient urinated shortly before the procedure, then immediately before the procedure, the doctor will fill the organ cavity with water through the inserted tube.

How the survey is performed

One of two types of device can be used for cystoscopy – movable (bending) or stationary (non-bending). The choice depends on the indications for the examination and its goals. The procedure itself is practically painless, and the patient’s discomfort is associated with the direct introduction of the apparatus. In addition, when the bladder fills, there is a natural tolerant urge to urinate. During the examination, the doctor is constantly interested in the patient’s well-being. Often during cystoscopy, a biopsy (tissue / cell collection) is performed to analyze the biomaterial. The whole procedure lasts an average of 15–20 minutes.In the future, the patient may have painful sensations when urinating, which usually disappear after a few days.

Cystoscopy in “CM-Clinic”

Specialists of “CM-Clinic” in St. Petersburg have significant experience and practice an individual approach to each patient. Here you can do cystoscopy and undergo other measures for the diagnosis of diseases of the bladder. SM-Clinic doctors help to identify the presence of pathology and its causes. Therapy and treatment regimen are selected in each case individually, depending on the results of the examination.

Frequently asked questions

What is included in the preparation for cystoscopy?

Cystoscopy does not require any special preliminary preparation. The main thing to do is to conduct thorough hygiene of the external genital organs before leaving the house and arrive at the clinic on an empty stomach. Immediately before the procedure, the doctor will additionally treat the genital area. Correct disinfection will ensure maximum safety of the examination and exclude the possibility of introducing infections during cystoscopy.A medical device also undergoes mandatory sterilization in accordance with sanitary standards.

How do you feel after cystoscopy?

When the anesthesia wears off, there will be minor discomfort. It may be pain, a slight burning sensation in the urinary tract area. The symptoms are worse when urinating, especially in men. In this case, both frequent urge to use the toilet and urinary retention can be observed. If the examination was carried out using a rigid endoscope, light pink mucous discharge may also occur. In rare cases, the temperature rises, chills appear.
The unpleasant sensations will go away on their own within 1-2 days. To speed up the recovery process, you need to drink more fluids, take painkillers as prescribed by your doctor. If the symptoms persist within 3 days, or spotting, chills are added to them, you should definitely consult a doctor.

How is cystoscopy done?

The patient lies on the couch on his back or is placed in a special chair.Before starting the study, anesthesia is used to relieve pain. The method of pain relief is selected individually. The doctor processes the endoscope, lubricates the device with petroleum jelly or glycerin. After that, the device is inserted through the urethra. When the device reaches the bladder, the remaining urine is removed through the tube, and the organ is filled with a special solution. If pus or blood is found in the bladder, it is pre-washed.
The doctor examines the bladder, determines the presence of pathologies, if necessary, takes a biopsy or makes other manipulations. On average, the procedure lasts no more than 15-20 minutes. During the examination, the doctor is necessarily interested in the patient’s well-being, and closely monitors his condition.

Does cystoscopy hurt?

The procedure is carried out exclusively under anesthesia. The choice of the type of anesthesia depends on the individual indications. It can be general anesthesia, spinal anesthesia, novocaine or icecaine solutions, and other types of pain relief. General or spinal anesthesia is often prescribed for men, as they experience more severe pain during the procedure, and, if necessary, carry out a long examination.Thanks to the use of anesthesia, the procedure is almost painless. Only slight discomfort is felt, which is associated with the introduction of a cystoscope into the urethra. When the doctor fills the bladder with saline, there is a natural urge to urinate.

Reception of an endoscopist in our clinics

Dunaiskiy prospect, d. 47 (m.Dunaiskaya)

Operating hours:

Daily
from 9.00 to 22.00

Udarnikov Avenue, 19 bldg. 1 (m. Ladozhskaya)

Operating hours:

Daily
from 9.00 to 22.00

Vyborgskoe highway, d. 17 bldg. 1 (metro Prospect Prosveshcheniya)

Operating hours:

Daily
from 9.00 to 22.00

Marshal Zakharova, 20 (metro Leninsky Prospect)

Operating hours:

Daily
from 9. 00 to 22.00

Malaya Balkanskaya, 23 (metro Kupchino)

Operating hours:

Daily
from 9.00 to 22.00

“CM-Clinic” – patients trust us!

Make an appointment and we will help you solve your problems! You can clarify the cost of the consultation by calling the phone number indicated on the page.

Sources

1. Utegaliev B.I. Cystoscopy / B.I. Utegaliev // Bulletin of Surgery of Kazakhstan. – 2010. – No. 3. – P. 85.

Cystoscopy of the bladder in Belgorod, prices, appointment, treatment

Cystoscopy is an endoscopic method for examining the inside of the bladder. During the diagnosis, a special device is used that is inserted directly through the urethra. Depending on the goals of the doctor, a conventional viewing or catheterization cystoscope can be used.

Cystoscopy is performed at the Promedica Medical Center. It is an accurate and informative way of examining and obtaining data on the condition of the bladder walls.

During the examination, it is possible to conduct a biopsy – a collection of biological material for the purpose of further research, as well as treatment.

Doctors of the Promedika clinic carry out:

• cystoscopy of the urinary bladder in women;
• cystoscopy of the urinary bladder in men;
• cystoscopy in children;
• cystoscopy with biopsy.

Turning to us, you will receive qualified assistance from specialists, a delicate approach to solving health problems. We guarantee a minimum of stress and discomfort, complete confidentiality.

How is bladder cystoscopy performed at the Promedica Center?

For the study, specialists use a flexible or rigid cystoscope. The first helps to conduct research with minimal discomfort. It repeats the anatomical shape of the organs.However, the use of a flexible cystoscope is not always possible. In some cases, urologists at the Promedica clinic use a solid endoscope. Pain relief will be given to minimize discomfort. Cystoscopy, performed with a rigid endoscope, allows the patient’s bladder to be flushed at the same time.

Diagnostics is carried out in the following order:

1. You need to take off your clothes, put on a sterile gown. Then lie down on the medical couch on your back, bend your knees and separate them a little.
2. Your nurse will give you an antiseptic treatment of your genitals. The doctor of the clinic “Promedica” will perform anesthesia in accordance with the chosen method. Local anesthesia is enough for a woman; for a man, the drug is injected into the urethra. In difficult cases, the procedure can be carried out under general anesthesia.
3. After about 10 minutes, the pain relievers will take effect. During this time, your doctor will insert a cystoscope into your urethra. A special gel is previously applied to the device to minimize the risk of injury;
4. Urine is forced out.The bladder is flushed with furacilin. After treatment, the urologist “Promedica” injects about 200 ml of saline. This allows you to straighten the walls of the organ and examine them in detail from the inside.
5. During cystoscopy, the doctor also takes into account the condition of the mucous membrane, its color, the presence of formations. Particular attention is paid to the ureters and the opening in the urethra.
6. At the end of the examination, the doctor carefully removes the cystoscope. If you have not received general anesthesia, you can leave the clinic immediately after the examination.However, you should not drive the car yourself.

When is cystoscopy indicated?

This procedure is performed for diagnostic, therapeutic and diagnostic purposes. Bladder cystoscopy allows you to evaluate the effectiveness of therapy or is prescribed if you suspect the following pathologies:

• enuresis. Manifested by urinary incontinence during sleep. At the same time, there are no neurological or mental pathologies;
• urethritis and cystitis.With these diseases, you may feel sting, pain, burning sensation when urinating. Often, pathologies are manifested by frequent urge to go to the toilet with low urine output;
  anomalies of the genitourinary system;
• male infertility. The procedure helps to assess the condition of the seed tubercle;
• prostatitis, adenoma and adenocarcinoma of the prostate. It manifests itself as a feeling of incomplete emptying of the bladder, frequent urge to go to the toilet, urinary incontinence;
• pyuria, hematuria. The patient can observe pus or blood in the urine;
• urolithiasis. When stones are found in the bladder, you may feel incomplete emptying of the bladder, pain, cramps in the lower abdomen, the appearance of a whitish tint in the urine or salt crystals;
• neoplasms in the bladder. You may experience the same symptoms as with cystitis. A swab from the urethra or may show the presence of abnormal cells.

Contraindications to cystoscopy of the urinary bladder

The medical doctor “Promedika” may postpone the procedure if:

• exacerbation of chronic inflammation or acute course of diseases of the genitourinary system;

90,017 bleeding;

• trauma to the urogenital canal;
• urethral fever, etc.

How to prepare for cystoscopy?

The doctors of the clinic “Promedica” give individual recommendations regarding diagnostics at the reception. However, it is important to remember that the procedure is performed with anesthesia. In men, general anesthesia can be used, before which it is advisable not to eat for 6-8 hours.

Before manipulation, you should visit the toilet and hold the toilet of the external genital organs. According to patients’ reviews, it is important to psychologically tune in to the diagnosis.

Cystoscopy of the urinary bladder for the treatment of pathologies

Endoscopic examination is carried out not only for diagnostic purposes. During the study, the doctor of the clinic “Promedica” can carry out:

• coagulation of ulcers, erosions of the bladder, urethra;
• removal of foreign bodies, clots, restoration of the patency of the urethra;
• crushing and removing small stones;
• removal of small neoplasms, polyps.At the same time, coagulation is carried out.

During cystoscopy, the doctor can flush the urethra, administer medications in the form of solutions.

Cystoscopy can cause discomfort, especially with severe inflammation of the genitourinary system. The urologists of the Promedika center act delicately. The duration of the procedure is only 5-10 minutes.

Still have questions? To clarify the price of diagnostics or make an appointment in Belgorod, contact our administrator in a convenient way.

Cystoscopy of the urinary bladder in women and men in St. Petersburg

Cystoscopy is the examination of the bladder using a special device called a “cystoscope”. Outwardly, the cystoscope resembles an ordinary thin tube, inside which is a complex optical system that allows you to examine the entire inner surface of the bladder. The cystoscope helps the doctor assess the area of ​​inflammation, rule out polyps, and determine the source of bleeding. Today, cystoscopy remains the most accurate method for diagnosing bladder diseases.

Sensations during cystoscopy

Many women deliberately refuse cystoscopy for fear of severe pain, so we do our best to reduce the discomfort associated with this urological procedure. Before the start of cystoscopy, an anesthetic gel prepared on the basis of lidocaine is injected into the urethra. The gel not only minimizes pain, but also makes it easier for the cystoscope to slide inside the urethra. The metal body of the cystoscope is preheated to body temperature, which eliminates the muscle spasm that is typical for the touch of metals at room temperature.The absence of spasm in combination with the easy sliding of the device allows the urologist to carry out the procedure as soon as possible, not exceeding three minutes.

Feelings after cystoscopy

The main complaint of people who have already undergone cystoscopy is pain when urinating during the first days after the procedure. The cause of pain is associated with both spasm of the urethra and microinflammation of the bladder mucosa. Spasm prevention is achieved with an effective oral antispasmodic prescribed well in advance of the procedure.Prevention of microinflammation is carried out after the procedure, thanks to the infusion of chlorhexidine or miramistin solution into the bladder, which have proven themselves well in the treatment of cystitis. The combined action of an antispasmodic substance and chlorhexidine (miramistin) greatly facilitates urination after a successful procedure.

90,000 Cystoscopy in Germany – Prices for the procedure at the Nordwest clinic – Where can you get a cystoscopy of the bladder

Cystoscopy is a diagnostic method in Germany for examining the inner surface of the bladder and urethra.

Indications for cystoscopy (ureteroscopy) in men and women:

• Recurrent inflammation of the bladder or urinary tract;
• Disorders of emptying;
• Stones in the bladder;
• Enlarged prostate;
• Suspected bladder tumor.

How cystoscopy is done

During the procedure, the patient is seated in a special chair. The area around the entrance to the urethra is thoroughly disinfected and a special lubricant is injected into the ureter, which simultaneously acts as a local anesthetic.

Then the doctor inserts a so-called cystoscope into the urethra and further into the bladder – a special rigid or flexible tube the thickness of a pencil with several channels. One of the channels serves for illumination, the necessary instruments are introduced through the other, the third serves for washing and suction of the liquid.

During the advancement of the cystoscope, sterile fluid is supplied to straighten the walls of the urethra and bladder for better visibility. In men, during the procedure, the doctor may assess the size of the prostate gland.During cystoscopy, patients may experience a strong urge to urinate or a feeling of fullness in the bladder.

In women, cystoscopy is easier, due to the fact that the path to the bladder is shorter and straighter. In men, the doctor must overcome not only a longer path, but also a curved urethra, as well as a narrowing in the prostate gland.

For routine examination of the bladder, a flexible cystoscope is usually used, at the end of which is a camera that transmits an image to a monitor.

The rigid cystoscope, thanks to the wide working channel, allows the doctor to introduce working instruments for taking tissue samples and carrying out minor surgical interventions:

• stone removal;
• stopping bleeding;

90,017 elimination of constrictions;

90,017 removal of small tumors;

• installation of a catheter in the ureter.

Cystoscopy is a simple procedure: it takes a few minutes and does not require any special preparation.Before the examination, the patient can eat and drink as usual. Typically, cystoscopy is performed on an outpatient basis with local anesthesia. Only in some cases is complete anesthesia performed.

Potential risks and complications

Rare complications of cystoscopy include bleeding, damage to the urethra and bladder, and infections. In some patients, the study may cause temporary uncontrolled urine flow.

After cystoscopy under full anesthesia, the patient remains in the hospital for one night.But even after outpatient intervention, the doctor observes the patient for some time.

On the day of cystoscopy, the patient is recommended to drink plenty of fluids to remove possible infectious agents and blood residues.

Where can you get a cystoscopy in Germany

It is possible to undergo cystoscopy of the bladder for a fee in the clinic “Nordwest” according to indications and under the supervision of highly qualified specialists who treat diseases of urological and other spectra in Germany. Prices for cystoscopy (ureteroscopy) of the bladder , the cost of other types of diagnostics, as well as how much it costs to stay in the clinic and the procedure for admitting patients for diagnosis and treatment, can be clarified by calling 8 800 551 8099 or by writing to [email protected]

Cystoscopy – Urology – Departments

Cystoscopy

Cystoscopy is a modern way of examining the internal state of the bladder, it is performed to identify various anomalies, to detect pathologies, foci of infection and inflammatory processes.Assessment of the condition of the inner walls of the bladder is carried out using a medical device-cystoscope, which is why the procedure was named so. It is applicable in situations where a previously performed ultrasound scan of the bladder may not visualize small ulcers or polyps, small neoplasms, leukoplakia, their prevalence and nature. It is in this case that they resort to cystoscopy, this method is more detailed, accurate and informative. It allows you to identify neoplasms of any shape and size, assess their good quality or malignancy, and also find bladder stones, inflammation sites or injured areas of the mucous membranes.

Research is not painful. Antibiotics are often not required after the procedure. But this is decided by the doctor after the procedure performed in each case.

Readings:

Recommended for patients with chronic cystitis, the treatment of which, although it gives results, does not completely exclude periodic exacerbations of the disease. It is prescribed for previously diagnosed interstitial cystitis. It is irreplaceable if blood was found in the urine, even in small quantities.It is carried out with frequent urination, the causes of which have not been previously identified, urinary incontinence, difficulty urinating, chronic pain syndrome in the small pelvis.

Contraindications:

Cystoscopy is contraindicated in acute inflammation of the bladder, with a diagnosis of orchitis or prostatitis, if blood is secreted from the urinary tract, but the etiology of this anomaly has not been identified, when the patient has a fever caused by diseases of the urinary tract.

Preparation for examination:

No special training required.Before the study, a general urinalysis should be done to exclude the inflammatory process at the moment. Not performed during menstruation.

How is the cystoscopy:

For carrying out cystoscopy, a medical device is used – a cystoscope, in appearance it resembles a tube, at the end of which a lighting device is attached. During the examination, the patient lies in a special chair, with his legs raised and spread apart. Before the introduction of the device into the urethra, its genitals are treated with an antiseptic.Local anesthesia with Katejel gel is used for anesthesia. The instrument is inserted into the urethra and further into the bladder, the bladder is filled with sterile saline and the doctor examines the condition of the inner walls of the bladder. The solution is injected into the cavity of the bubble in order to better visualize its walls. Using the same method, you can also do a biopsy, that is, take pieces of organ tissue. This is used to check tissue for histology, to detect tumors or abnormalities.The inspection lasts no more than 10 minutes. After the examination, the patient is immediately released home.

Cystoscopy can also be performed under general anesthesia. The possibility of carrying out cystoscopy under anesthesia must be discussed with a doctor in advance, and undergo special training (hospital complex). On the day of the study, arrive at the appointed time on an empty stomach. When using general anesthesia, the patient after the examination will be transferred to a special ward, where he will stay for some time under the supervision of the medical staff. After the application of anesthesia on this day, you cannot drive

Pregnancy check-up:

This method is not contraindicated during pregnancy, cystoscopy during pregnancy is used to drain the kidney in a hospital when blood impurities are found in the urine.This symptom is characteristic of pyelonephritis, and also occurs if stones appear in the kidneys. Examination with this device during pregnancy is applicable only if there are serious indications, since even minor injuries can lead to spontaneous abortion. If possible, both diagnosis and treatment should be postponed to the postpartum period.

After the procedure:

After the procedure, doctors recommend drinking more water. It is the increased urine output that will help reduce the unpleasant symptoms that may arise after the examination.After the examination, discomfort or burning sensation during urination may appear, and the patient may also be disturbed by frequent urge to use the toilet, streaks or drops of blood in the urine may appear. Pain in the lower abdomen may appear. All these manifestations are a variant of the norm, but if they do not go away on their own in a day, it is worth contacting a specialist in order to exclude the development of an infection or an inflammatory process.

How to sign up for a study:

The study is carried out by all urologists in the department.