Cystoscopy

The Key Things to Know:

Cystoscopy is a procedure that allows your urologist to look inside the bladder and urethra using a thin telescope (cystoscope). It helps diagnose urinary problems such as blood in the urine, recurrent infections, or difficulty passing urine. It can also be used for simple treatments such as removing small stones or biopsies.

What It Is

During cystoscopy, a small telescope with a light and camera is gently passed through the urethra into the bladder. The procedure is usually done under local anaesthetic in the clinic or under sedation in theatre, depending on the indication and patient comfort.

When It's Needed

Cystoscopy may be recommended if you have: - Blood in the urine (visible or microscopic) - Recurrent urinary tract infections - Bladder pain or irritation - Difficulty passing urine or suspected obstruction - Surveillance after bladder cancer or other procedures

Surgery Diagram

Benefits

  • Quick and accurate visual diagnosis

  • Minimal recovery time

  • Can be diagnostic and therapeutic (e.g. remove small stones, stents, or biopsies)

  • Often performed as a day procedure

Risks

  • Temporary burning or blood in urine

  • Mild discomfort for 24-48 hours

  • Small risk of urinary infection

  • Rarely, injury to the urethra or bleeding requiring further care

What to Expect After Surgery

You can usually go home shortly after cystoscopy. Mild stinging or frequency is common for a day or two. Drink extra fluids and avoid heavy exercise for 24 hours. If you develop fever, chills, or difficulty passing urine, contact your doctor.

FAQs

  • Local anaesthetic gel makes it well tolerated. Some mild discomfort is common but short-lived.

  • Yes - cystoscopy is the gold standard test for diagnosing bladder tumours.

  • The procedure usually takes 5-10 minutes, slightly longer if biopsies are taken.

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