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Contents of this page: | |
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Alternative names Return to top
CystourethroscopyDefinition Return to top
Cystoscopy is a procedure that enables your health care provider to view the inside of your bladder and urethra in great detail using a specialized endoscope (a tube with a small camera used to perform tests and surgeries) called a cystoscope.
How the test is performed Return to top
There are two types of cystoscopes, the standard rigid cystoscope and the flexible cystoscope. The method for insertion of the cystoscope varies, but the test is the same. The choice of which scope to use depends on the purpose of the exam.
If the standard rigid cystoscope is used, you lie in the lithotomy position (on back with your knees up and apart). The flexible cystoscope may be easier to insert than the standard rigid model. It does not require the lithotomy position for insertion.
The procedure usually takes between 5 and 20 minutes. The urethra is cleansed and a local anesthetic is applied. The scope is then inserted through the urethra into the bladder.
Water or saline is inserted through the cystoscope and fills the bladder. As this occurs, you are asked to describe the feeling to your health care provider, which provides information about your condition.
As the fluid fills the bladder, it stretches the bladder wall, enabling the physician to view the entire bladder wall. You will feel the sensation of a need 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.
How to prepare for the test Return to top
Adults:
You must sign an informed consent. You will wear a hospital gown during the procedure.
You should make arrangements for travel home from the hospital.
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
How the test will feel Return to top
You may feel 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 may feel a burning sensation during urination for a day or two.
Why the test is performed Return to top
Normal Values Return to top
The bladder wall should appear smooth. The bladder should be normal size, shape, and position. There should be no obstructions, growths, or stones.
What abnormal results mean Return to top
What the risks are Return to top
There is some risk of infection. There is a slight risk of the following complications:Special considerations Return to top
You may notice a small amount of blood in your urine following this procedure. If the bleeding continues after three voids (urinations), contact your health care provider.
There is also a chance of infection. If you develop pain, chills, fever, or reduced urine output, contact your health care provider.
Update Date: 1/9/2003 Updated by: David R. Knowles M.D., Department of Urology, New York-Presbyterian Hospital Columbia Campus, New York, NY. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |