A procedure that enables the urologist to view the inside of the bladder using a specialized endoscope called a cystoscope.
Procedure
- The urethra is cleaned and a local anesthetic is applied.
- The scope is then inserted through the urethra into the bladder.
- The flexible cystoscope may be easier to insert than the standard rigid model. It does not require the lithotomy position for insertion.
- The choice of which scope to use depends on the purpose of the exam.
- Water is inserted through the cystoscope and fills the bladder (you are asked to describe the feeling to your health care provider).
- As the water fills the bladder, it stretches the bladder wall, enabling the physician to view the entire bladder wall.
- You will feel the sensation to urinate when the bladder is full, however, it needs to remain full until the examination is complete.
- If any tissue appears abnormal, a small specimen can be taken (biopsy) through the cystoscope to be analyzed.
- The average cystoscopy takes about 15 to 20 minutes.
- There may be slight discomfort as the cystoscope is passed through the urethra into the bladder.
- You will feel uncomfortable (a strong need to urinate) when the fluid has filled the bladder.
- You may feel a pinch if a biopsy is taken. After the cystoscope is removed, the urethra may be sore and you will feel a burning sensation during urination for a day or two.
- Diagnose and evaluate urinary tract disorders.
- Check for cancer of the bladder or urethra.
- Diagnose an enlarged prostate (link in cancer) (men).
- Help determine the cause of pain during urination.
- Diagnose recurrent bladder infections.
- Excessive bleeding from taking a biopsy.
- Rupturing a bladder wall (with the cystoscope or during biopsy).
