Cystoscopy

Cystoscopy :: Digital Rectal Examination ::  Pathology
PSA :: Radiology :: Urodynamics :: TRUS

Cystoscopy enables a urologist to directly view the inside of the urinary bladder and urethra in great detail using a "cystoscope" (an instrument used).

There are two types of cystoscope

• Rigid cystoscope: This is a solid straight telescope, which has been in use for many years. It is used alone with a high intensity light source and a separate channel to allow other instruments to be attached
  
  
• Flexible cystoscope: This is more commonly used particularly for diagnosis and for the follow up of most bladder tumours. It is a fibre optic instrument that can bend easily and has a manoeuvrable tip that makes it easy to pass along the curves of the urethra

Although many doctors now use flexible instruments this may be carried out under general anaesthetic. In some cases the procedure is done under local anaesthetic on an outpatient basis.

Cystoscopy may be indicated for the following conditions:

• Frequent urinary tract infections
  
• Blood in your urine (haematuria)
  
• Loss of bladder control (incontinence) or overactive bladder
  
• Unusual cells found in urine sample
  
• Need for a bladder catheter
  
• Painful urination, chronic pelvic pain, or interstitial cystitis
  
• Urinary blockage such as prostate enlargement, stricture, or narrowing of the urinary tract
  
• Stone in the urinary tract
• Unusual growth, polyp, tumour, or cancer

Post-Discharge Instructions for Cystoscopy

• Depending on your procedure, blood may be visible in your urine.  Drink plenty of fluids over the next few days to prevent blood clots forming in the bladder, as blood clots may cause difficulty in passing urine.
  
  
• Burning and stinging may be experienced on urination.  Drink plenty of fluids and take “URAL” (obtainable from pharmacies without prescription) three times daily for the next few days to relieve symptoms.
  
  
• You may be prescribed antibiotics.  Take the full course as directed.
  
  
• After discharge, if you are unable to pass urine and experience pain/discomfort in your bladder, contact your surgeon or report to nearest casualty department.
  
  
• Report any problems or concerns to your surgeon or G.P.

Find out all about Cystoscopy in this interactive presentation (coming soon).