Cystoscopy & Allied Procedures

paediatric urology clinic
paediatric urologist surgeon

What is Cystoscopy?

Cystoscopy refers to the endoscopy of the urinary bladder. It is a medical procedure used by the doctors to examine the lining of the urethra and urinary bladder. Cystoscopy is primarily done to check the abnormalities and damages in the bladder. It examines and diagnoses these abnormalities and defects.

For the process, a cystoscope is inserted into the bladder through the urethra. The bladder is filled with water to examine the functioning and abnormalities of the urethra. If necessary, the sample of the uterus wall is also taken for further examination and testing.

When is Cystoscopy recommended?

Here are the few symptoms which require immediate consultation:

  • Blood in urine
  • Painful urination
  • Inconsistent and overactive bladder
  • Bladder store or inflammation
  • Continuous swelling in the urethra
  • Cancer or tumor of the bladder
  • Injury of the urinary tract
  • Urinary Tract Infections (UTI)
  • Overgrowth of normal tissues

Before Cystoscopy

Before the procedure takes place, eating and drinking instructions are given by the doctor. The doctor also makes note of the ongoing medications. Antibiotics are given before the surgery to avoid infections. One might also be asked for a urine test before the surgery and to empty the bladder.

Process of Cystoscopy

The patient is asked to empty the bladder first. A small amount of anesthesia is given to the individual to make him fall asleep. After that, the urethra and surroundings are cleaned using some solution, and the area is numbed. Once the area is numbed, the anesthesia is removed. The surgeon then inserts the scope through the urethra into the bladder. The scope inserted has a camera at its end which is used to have a clear view of the location. Sterile water or saline is then used to fill the bladder with the help of a scope. When the bladder gets full, it gets stretched which helps to have a clear look of the urethra and its walls. The abnormalities are examined and if there’s something unusual, the sample is taken for further examination.

One may feel discomfort and a slight pinch when the sample is taken.
After taking the samples, the cystoscope is slowly removed from the body and the procedure gets completed.

After the surgery-

After the surgery, the following measures are advisable by the doctors-

  • To drink lots of fluids and water
  • A warm tub bath for preventing urinary discomfort
  • Take complete bed rest for at least one week
  • Stay close to the bathroom
  • Don’t drink alcohol
  • Eat medications regularly on time.
  • Avoid heavy lifting
  • Avoid sexual intercourse for some time
  • Eat healthy vegetables

Complications and risks of Cystoscopy

Infection – Sometimes, due to cystoscopy, germs enter into the urinary tract causing infection. Advanced age, smoking increases the risk of infection. Antibiotics are preferred before and after the surgery to prevent the risk of the invention.
Bleeding – Mild blood may also come through urination after the surgery. Heavy bleeding is very rare.
Pain – One might experience pain in the abdomen along with a burning sensation while urinating.
Swollen urethra – The urethra gets swollen after the surgery. It is a very common complication that causes pain and difficulty while urinating.

Alarming after effects

One should immediately consult a doctor if they experience any of the following symptoms:-

  • Fever or chills
  • Inability to urinate
  • Heavy bleeding while urinating
  • Continued burning
  • Lower back pain
  • Urgency to urinate