An overview of Cystoscopy
A cystoscopy is a medical procedure that allows a healthcare provider to examine the lining of the bladder and the urethra. It is used to diagnose, monitor, and treat conditions such as bladder cancer, bladder stones, bladder inflammation, incontinence, overactive bladder, painful urination, or an enlarged prostate. Cystoscopy can also help determine the cause of blood in the urine, frequent urinary tract infections, or other related symptoms.
What is Cystoscopy used for?
Cystoscopy is used to examine the lining of the bladder and the urethra. It helps diagnose, monitor, and treat conditions affecting the bladder and urethra, such as blood in the urine, incontinence, overactive bladder, painful urination, bladder cancer, bladder stones, bladder inflammation, and an enlarged prostate. The procedure involves inserting a hollow tube (cystoscope) into the urethra and slowly advancing it into the bladder. Cystoscopy can be done under local anesthetic jelly or sedation, depending on the reason for the procedure and the patient's preference. After the procedure, patients may be able to resume their daily routine, but should call their doctor if they have any concerns. Results may be discussed immediately or at a follow-up appointment, depending on the nature of the procedure.
How to prepare for Cystoscopy?
Before the cystoscopy test, you may be asked to:
- Empty your bladder: You'll be instructed to empty your bladder right before the test begins. You may also be asked to refrain from urinating until after the test, if a urine sample is needed.
- Prepare for sedation or anesthesia: If you'll receive an intravenous (IV) sedative or general anesthetic during your cystoscopy, you should arrange for someone to drive you home after the procedure.
- Fasting: Depending on the type of anesthesia used, you may be required to fast for a certain period before the test. Be sure to follow your doctor's instructions regarding fasting.
- Medications: Inform your doctor about any medications you are taking, as you may need to adjust your dosage or stop certain medications temporarily before the test.
Follow your doctor's specific instructions regarding patient preparations for your cystoscopy test.
How is Cystoscopy conducted?
A cystoscopy test is conducted by inserting a hollow tube (cystoscope) equipped with a lens into the patient's urethra, slowly advancing it into the bladder. The doctor might use local anesthetic jelly or sedation, depending on the reason for the procedure. During the procedure, the bladder is filled with a sterile solution to provide a better view. The doctor might take tissue samples or perform other procedures as needed. After the cystoscopy, the patient can usually resume their daily routine, but may experience side effects like discomfort or the urge to urinate.
How are Cystoscopy results reported?
Cystoscopy results are typically discussed with the patient by their doctor immediately after the procedure or during a follow-up appointment. If a biopsy was taken to test for bladder cancer, the results will be sent to the lab for analysis, and the patient will be informed of the findings once the tests are completed. The doctor will report the results based on the reason for the cystoscopy and the specific findings during the procedure.
Understanding the report
After a cystoscopy, your doctor might be able to discuss the results immediately or wait until a follow-up appointment. If a biopsy was taken during the procedure to test for bladder cancer, the sample will be sent to a lab, and your doctor will let you know the results once the tests are complete. The interpretation of cystoscopy results depends on the specific reason for the procedure and the findings during the examination. Your doctor will analyze the images and any tissue samples taken to diagnose, monitor, or treat conditions affecting your bladder and urethra.