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A flexible cystoscopy is a test that allows the doctor to look directly at the lining of the bladder, from the opening of the urethra. During the procedure a thin flexible 'fibre-optic' tube called a cystoscope is passed through the urethra (opening to the bladder).
What are the Symptoms?
Flexible Cystoscopy is a diagnostic procedure to examine the inside of your bladder
It is usually performed as an outpatient under local anesthetic
Mild burning on passing urine is common after the procedure but side-effects are rare
What Does This Procedure Involve?
Telescopic inspection of your bladder and urethra (waterpipe) under local anesthetic. We can also take small bladder biopsies, remove a stent from your ureter (the tube between your kidney and bladder) and inject Cosmetic Procedure and Injections into the wall of your bladder using this technique. You can watch flexible cystoscopy video.
What are the Alternatives?
Rigid cystoscopy under general anesthetic – your urologist will advise you if this is necessary
No treatment – which may leave the cause of your symptoms unexplained
What Happens on the Day of the Procedure?
Your urologist (or a member of their team) will briefly review your history and medications and will discuss the surgery again with you to confirm your consent as flexible cystoscopy preparation.
Details of the Procedure
We normally carry out the procedure under local anesthetic
We may give you some antibiotics before the procedure after you have been checked for any allergies
We instill a jelly containing local anesthetic into your urethra (waterpipe) and leave it in place for a few minutes; this makes the introduction of the telescope as comfortable as possible
We put the cystoscope (flexible telescope) into your urethra (waterpipe) and pass it into your bladder
Men sometimes find that passing the telescope through the prostate is a little painful; this only lasts a few seconds
Once the telescope is in place, we run sterile water slowly into your bladder so that we can inspect all the bladder lining. A nurse will remain with you throughout the procedure
We remove the telescope once we have completed the examination
The procedure usually takes no more than a few minutes to complete
You will be able to pass urine, wash, and dress after the procedure
The doctor or nurse will explain the findings to you The procedure is normally performed on an outpatient basis, so you will be able to go home straight afterward
Are There Any After-Effects?
The possible after-effects and your risk of getting them are shown below. Some are self-limiting or reversible, but others are not. We have not listed rare after-effects (occurring in less than 1 in 250 patients) individually. The impact of these after-effects can vary a lot from patient to patient; you should ask your surgeon’s advice about the risks and their impact on you as an individual. The flexible cystoscopy male and female 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 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.
What is My Risk of a Hospital-Acquired Infection?
Your risk of getting an infection in the hospital is approximately 8 in 100 (8%); this includes getting MRSA or a Clostridium diffcile bowel infection. The risk is lower for “outpatient” procedures but higher if you are in a “high-risk” group of patients such as patients who have had:
Long-term drainage tubes (e.g., catheters)
Bladder removal
Long hospital stays
Multiple hospital admissions
What Can I Expect When I Get Home?
You will get some burning and bleeding over the first few days when you pass urine
Should drink twice as much fluid as you would normally for the first 24 to 48 hours to flush your system through
If you develop a fever, severe pain on passing urine, inability to pass urine, or bleeding, you should contact your GP immediately
Any antibiotics or other tablets you may need will be arranged and dispensed from the hospital pharmacy
A follow-up appointment may be made for you to discuss any further treatment
General Information About Surgical Procedures
Before Your Procedure
Please tell a member of the medical team if you have:
An implanted foreign body (stent, joint replacement, pacemaker, heart valve, blood vessel graft)
A regular prescription for a blood-thinning agent (Warfarin, Aspirin, Clopidogrel, Rivaroxaban, or Dabigatran)
A present or previous MRSA infection; or a high risk of variant-CJD (e.g., if you have had a corneal transplant, a neurosurgical dural transplant, or human growth hormone treatment)
Before You Go Home
We will tell you how the procedure went, and you should ask:
Make sure you understand what has been done
Ask the surgeon if everything went as planned
Let the staff know if you have any discomfort
Ask what you can (and cannot) do at home
Make sure you know what happens next
Ask when you can return to normal activities
We will give you advice about what to look out for when you get home. Your surgeon or nurse will also give you details of who to contact, and how to contact them, in the event of problems.
FAQs
Is a flexible cystoscopy considered surgery?
A flexible cystoscopy is a diagnostic procedure, not a surgery. It involves inserting a thin, flexible tube with a camera through the urethra to examine the bladder, without any surgical incisions.
How long does it take to recover from a flexible cystoscopy?
Recovery from a flexible cystoscopy is usually quick, and most patients can resume normal activities within a day. Mild discomfort or a slight burning sensation during urination may occur for a day or two.
Do they put you to sleep for a flexible cystoscopy?
No, general anesthesia is not typically used for a flexible cystoscopy. Instead, a local anesthetic gel is applied to numb the urethra, allowing the procedure to be done while you are awake.
How painful is a flexible cystoscopy?
A flexible cystoscopy is generally well-tolerated and causes minimal discomfort. Some patients may feel slight pressure or a mild burning sensation during the procedure, but local anesthesia is often used to reduce discomfort.
Why would a urologist do a cystoscopy?
A urologist may perform a cystoscopy to examine the bladder and urethra for conditions like infections, stones, tumors, or urinary tract issues. It helps in diagnosing and managing various urinary problems.