Cystoscopy is a procedure with a fiber optic telescope that allows us to visually inspect the inside of your urethra and bladder.

This study is often performed in people who have blood in the urine, difficulty emptying the bladder, bladder stones, urethral strictures or infections. We can determine if there are any abnormalities including narrowed areas (strictures or contractures), outpouchings called diverticula or an enlarged prostate in males. Inflammation, bleeding, stones, and tumors can also be identified. This study also allows us to evaluate the muscle (sphincter) which regulates the outflow of urine from your bladder.

 

About the Procedure

You will be positioned on the exam table lying on your back. If you use a wheelchair that reclines, the study may be performed while you remain in your wheelchair. Your urethral opening will be cleansed to eliminate bacteria. Lubricating gel such as K-Y jelly will be instilled into your urethra. A small flexible tube that is equipped with a light and camera (cystoscope) will be inserted through your urethra and into the bladder. Your doctor will look through the eyepiece of the scope to see your urethra and bladder. Fluid will flow slowly through the cystoscope to fill the bladder allowing for clear visualization. The procedure itself lasts less than 5 minutes.

You may feel a burning sensation when the K-Y jelly is inserted into the urethra. You may feel burning or pressure when the cystoscope is inserted. You may feel a sensation of coolness as the fluid fills your bladder. You may be given an antibiotic to guard against infection.

You should eat or drink as you usually do. If you are diabetic you should take your medication and eat normally. You should come to the clinic with a full bladder as you will be asked to give a urine sample.

After the Procedure

It is normal to feel some burning with urination for up to 3 days following the procedure. You may also note a small amount of blood in the urine making the urine look pink tinged. You may also notice increased bladder sensation. You may resume your normal activities immediately following the cystoscopy.

If you develop any signs of urinary infection such as fever of 100.5 degrees Fahrenheit or higher, chills, persistent burning with urination, or persistent blood in the urine, you will be asked to call 410.266.8049 during working hours (8:00 am – 4:00pm). If there are any concerns that need to be addressed after business hours or on weekends, please call 443.481.3003 and ask to speak with the Urologist on Call.

FAQ's

What is a cystoscopy?
A cystoscopy is a medical procedure that allows a urologist to examine the inside of the bladder and urethra using a thin tube with a camera, called a cystoscope.
How long does a cystoscopy bladder biopsy take?
A cystoscopy with a bladder biopsy typically takes about 30 minutes to an hour, depending on the complexity of the procedure.
How long does a cystoscopy take?
The cystoscopy procedure itself usually takes only a few minutes, but the total time in the clinic may be longer due to time for preparation and consultation with nursing staff and your provider.
What type of sedation is used for cystoscopy? Do I have to go to sleep?
No, cystoscopy can almost always be performed using local anesthesia, which numbs the area, allowing you to go immediately back to normal activities.
Why would a urologist do a cystoscopy?
A urologist may perform a cystoscopy to diagnose issues such as urinary tract infections, bladder stones, tumors, or other abnormalities in the bladder and urethra.
What can you not do after a cystoscopy?
After a cystoscopy, you can generally resume all normal activities immediately. You may occasionally see a small amount of blood in urine when voiding afterwards. This typically resolves on its own after a day or so.
Is a cystoscopy painful?
Some patients may experience pain and/or mild discomfort during and after the procedure, but this varies by individual. Local anesthesia is used to minimize discomfort during the procedure.
How long does it take to heal from a cystoscopy?
Most patients recover quickly, typically within a day. However, patients occasionally experience mild discomfort for up to a week.
Can a cystoscopy detect prostate cancer?
A cystoscopy primarily examines the bladder and urethra and is used to evaluate prostate enlargement, but it is not a direct test for prostate cancer.
How to relieve pain after cystoscopy?
To relieve pain after a cystoscopy, consider using over-the-counter pain relievers, drinking plenty of fluids, and applying a warm compress to the lower abdomen.
Cystoscopy

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