A cystoscopy is a procedure that allows a doctor to examine the inside of the bladder and/or urethra with cystoscope, a thin, lighted instrument.
A cystoscopy may be performed to diagnose and/or treat urinary tract problems, such as bleeding, infections that do not respond to treatment or blockages. In addition to collecting tissue samples with tiny surgical instruments inserted through the cystoscope, the doctor also may use the opportunity to remove small bladder stones and tissue growth.
How to Prepare
The doctor will start the process by collecting relevant information, including the following:
Whether the patient has any allergies, especially to medications or the latex used in gloves.
Which medications, if any, the patient already is taking. This will include both over-the-counter and prescription medications. The doctor will be especially interested in blood-thinning medications and their dosages.
Whether the patient is pregnant.
This would be the time to share with the doctor any questions of concerns you have about the cystoscopy, including any risks and what the determining factors for diagnose and/or treatment of the suspected condition is.
If cystoscopy is performed under local anesthesia, there may be no need for special preparations. However, if the cystoscopy is performed under a general anesthesia, the patient will receive instructions from the health care provider in advance with instructions on when to stop eating and drinking. The doctor also may provide additional directions regarding the medications normally taken by the patient.
The patient will need to empty the bladder immediately before the cystoscopy.
How Treatment is Performed
The patient usually lies on his or her back. Once the preferred method of anesthesia is administered, the lubricated cystoscope is inserted into the urethra. If the urethra is narrower than the cystoscope in some areas, narrow instruments are used to gradually widen the area.
Once the cystoscope reaches the bladder, either sterile water or saline is injected to expand the bladder. Medications to prevent infection from the cystoscopy also may be injected at this time.
Though the cystoscopy may take up to 10 minutes, the time spent may be longer if X-rays or other procedures or treatments take place at the same time.
What Happens After
Those whose cystoscopy was performed under general anesthetic, will remain in a recovery room for a few hours. Some people report feeling nauseous following a cystoscopy.
Regardless of the method used, the patient will need someone to take him or her home upon release.
Temporary swelling of the urethra caused by the cystoscopy may make urination difficult. A catheter can be placed to drain the urine until the swelling subsides. Some people also may experience mild bleeding as a result of a cystoscopy.
Cystoscopy. We offer treatments for patients residing in Chicago (Lincoln Park, Lake View, Bucktown, West Town, Logan Square, Hermosa, Belmont Cragin, Belmont Gardens, Avondale, North Center, Irving Park, Portage Park, Albany Park Lincoln Square, Near West Side, East Garfield Park, Humboldt Park, Pilsen, Downtown) and Chicago Suburbs (Oak Park, Cicero, Harwood Heights, Norridge, Elmwood Park, River Grove, River Forest, Berwy, Skokie, Morton Grove, Park Ridge, Franklin Park, Melrose Park, Maywood, Stone Park Schiller Park).