A flexible cystoscopy usually takes about 5 minutes. They may squeeze some local anaesthetic jelly into your urethra to help prevent infection and reduce discomfort. Your doctor will pass the cystoscope into your urethra.
This may be mildly uncomfortable until the area is numb. Once the urethra is numb and/or the anesthesia has taken effect, the healthcare provider will put the cystoscope into the urethra. You may have some discomfort when this is done.
flexible cystoscopy – a thin (about the width of a pencil), bendy cystoscope is used, and you stay awake while it's carried out. rigid cystoscopy – a slightly wider cystoscope that does not bend is used, and you're either put to sleep or the lower half of your body is numbed while it's carried out.
After a rigid cystoscopy: rest at home for a day or two – you may need to take a couple of days off work.
Results: The most painful part of the procedure was as the cystoscope passed through the membranous urethra with a median pain score of 2.82. The initial lidocaine administration gives a median pain score of 0.84.
Slight discomfort (burning with urination) can sometimes occur. Acetaminophen (Tylenol) 325 mg, one to two tablets every 6 hours, or ibuprofen (e.g. Advil) 200 mg, one to two tablets every 6 hours should relieve the pain. A prescription for an antibiotic may be given to you.
Does it hurt? People often worry that a cystoscopy will be painful, but it does not usually hurt. Tell your doctor or nurse if you feel any pain during it.
Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation. Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay. Ask your doctor when you can drive again.
With practice, you can learn to calm the mind and center yourself while the procedure is being performed. Some find breathing exercises tremendously helpful. Some listen to music or focus their attention on watching the monitor. Then there are others who come up with creative ways to distract themselves.
After the procedure, you will be able to empty your bladder again. You will be able to drive yourself home after. Most people do not need to stay in the hospital after a cystoscopy.
You can go back to doing your usual activities after your cystoscopy.
Please do not shave the hair yourself or use a razor to remove hair, as this can increase the risk of infection.
Urinary tract infections (UTIs) are one of the most common complications of a cystoscopy.
Cystoscopy is a test that lets the healthcare provider view the urinary tract. This area includes the bladder, the urethra, and the openings to the ureters. Cystoscopy can help find problems with the urinary tract. This may include early signs of cancer, infection, narrowing, blockage, or bleeding.
Cystoscopy allows a health care provider to view the lower urinary tract to look for problems, such as a bladder stone. Surgical tools can be passed through the cystoscope to treat certain urinary tract conditions.
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.
The flexible cystoscope can also be used to remove a ureteric stent, if you have had one put in previously. The examination is performed in the Endoscopy Unit and only takes 5-10 minutes. You should not need to be at the hospital for more than an hour.
This procedure allows the physician to examine the urethra (the tube that transports urine from the bladder) and the lining of the bladder. This is done under intravenous sedation.
Flexible cystoscopy uses a fine flexible telescope and can be performed under local anaesthesia (using local anaesthetic gel inserted into the urethra) while the patient is wide awake. Patients can therefore drive themselves home. Flexible cystoscopy can also be performed in hospital with sedation.
Your doctor will be able to visualize the entire bladder and urethra during this examination in order to determine if there is a tumor present. While this procedure can provoke anxiety, it is tolerated very well. You will be able to drive home after the office procedure without difficulty.
Preparation for Cystoscopy
There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit. Please take your regularly scheduled medications for the day, with the exception of aspirin or aspirin-based medications.
You can relieve some of the discomfort if you: Drink water to flush irritants out of your bladder. Try to drink 16 ounces (473 milliliters) of water each hour for the first two hours after the procedure. Take an over-the-counter pain reliever.
Cystoscopy compliance was 79.8% at 3 months and 54.4% at 12 months. Anatomic success rates were higher at 3 vs 12 months for EPA repairs (97.2% [106 of 109] vs 85.5% [65 of 76; P = . 003] but not buccal repairs (85.5% [53 of 62] vs 77.5% [31 of 40]; P = . 30).
A urologist can perform your cystoscopy during an office visit, in an outpatient center, or at a hospital. Ureteroscopies are usually performed in an operating room under anesthesia. A simple exploratory procedure takes about 15 to 30 minutes, including preparation.
After the cystoscopy, your urethra may be sore at first, and it may burn when you urinate for the first few days after the procedure. You may feel the need to urinate more often, and your urine may be pink. These symptoms should get better in 1 or 2 days.