Cystoscopy

Cystoscopy - What is It?

A cystoscopy is an endoscopic procedure used to examine the inside of the urethra and the lining of the bladder. It is typically performed to investigate symptoms of the urinary system that cannot be diagnosed through traditional imaging tests, such as X-rays.

Purpose of a Cystoscopy

Urologists often perform cystoscopies to accurately diagnose conditions of the urethra or bladder that may be causing symptoms, including:

If left untreated, these conditions can worsen over time, leading to more severe symptoms, such as loss of bladder control, sepsis, or even death. Early diagnosis is crucial for effective treatment and better long-term health outcomes.

What Happens During and After a Cystoscopy

During the procedure, a small tube called a cystoscope is inserted into the patient’s urethra. The cystoscope contains a camera that transmits images from inside the urethra and bladder to a monitor, allowing urologists to examine these internal organs closely.

This real-time visualization helps the physicians assess the tissues of the urethra and bladder and identify the cause of the patient’s symptoms. They may also fill the bladder with a sterile solution to improve visibility and provide a more accurate diagnosis. If bladder stones are present, they may be removed during the cystoscopy. Additionally, if there are concerns about cancer, a tissue sample (biopsy) may be taken for further testing.

Patients may be numbed or fully sedated during the cystoscopy. The procedure can cause some discomfort, particularly when the cystoscope is inserted into the urethra, leading to soreness that usually subsides in the days following the procedure. A mild burning sensation during urination is also a normal side effect.

Rare, Yet Serious Signs of Complications

While cystoscopy is generally safe, there are some risks. If you experience any of the following symptoms or you are concerned about your symptoms after the procedure, contact your urologist immediately: 

  • Inability to urinate
  • Fever 
  • Chills
  • Large amounts of blood or blood clots in the urine
  • Chest pain
  • Nausea
  • Intense pain during urination

When Will My Results Be Ready?

The timing of your cystoscopy results depends on your individual case. Some patients may receive their results immediately after the procedure, while others, particularly those under general anesthesia, may be given their results later. If tissue samples were taken, the urologist  may need to wait for additional testing to be completed before discussing the findings with you.

Sources:

https://www.mayoclinic.org/tests-procedures/cystoscopy/about/pac-20393694