Flexible Cystoscopy : procedure, side effects, pain


Cystoscopy procedure is conducted using Flexible Cystoscopy. Visualisation of the bladder through urethra using a cystoscope is known as Cystoscopy. Clear picturization of bladder is possible with cystoscopy. Cystoscopy is the procedure performed by the urologist.

Main objectives of Cystoscopy

  • To determine bladder infection,
  • Bleeding in the bladder,
  • To get biopsy, or sample tissue,
  • Diagnose bladder disorder,
  • To measure bladder capacity,
  • To remove foreign bodies or stones from urinary tract,
  • To find any tumors in the urinary tract,
  • To collect sterile specimen urine, etc…

Indications of Cystoscopy

  • Urinary incontinence, hematuria,
  • Urinary hesitancy, Painful urination,
  • Repeated or recurrent urinary tract infections not respond to treatment,
  • Enlarged prostate, renal calculi,
  • bladder cancer,
  • interstitial cystitis,
  • prolonged pelvic pain,
  • overactive bladder,
  • To obtain biopsy,
  • Presence of foreign body in the urinary tract,

Cystoscopy procedure

The Cystoscopy is performed by the urologist, using Cystoscope. The cystoscopy may be performed under local anaesthesia, spinal anaesthesia, or general anaesthesia. It is important to note that patient is not taking anticoagulants or stopped a week before Cystoscopy procedure or using alternative medicine.

The cystoscope has half a diameter of urethra and is passed through urethra into the bladder. A camera is attached to cystoscope as the picture can be visualised on the monitor. Sterile liquid is introduced into bladder for clear picturization of bladder wall. Additional instruments are also passed along with cystoscope to get biopsy or to remove foreign body. A catheter is left in the bladder to drain the fluid after the Cystoscopy.

Pain, Hematuria, painful micturition, are the commonest complaints of patients after the Cystoscopic procedure.

Side effects of Cystoscopy

  • Allergic reactions to anaesthesia,
  • Excessive bleeding,
  • Narrowing of urethra due to formation of scar tissue,
  • Damage or tear to the walls of urethra, bladder or ureter.
  • Urinary retention because to altered bladder muscle tone, and swelling,
  • Pain and swelling for hours to days.
  • Are the complications may seen after Cystoscopy.

Preparing the patient for Cystoscopy

  • Check the patient is allergic to any medicines or anesthesia,
  • Find if patient is using any anticoagulants, such a aspirin, if so advice to get alternative drug before a week of Cystoscopic procedure.
  • Check for pregnancy in females.
  • Written consent to be get by the patient or family members before Cystoscopy.

Patient doubts about cystoscopy

  • Patient is advised Not to take any food or drinks orally if general anaesthesia is given.
  • No food restriction, if local anaesthesia is given for Cystoscopy.
  • Void urine, or empty the bladder before Cystoscopy procedure.
  • Don’t get any fear, because cystoscopy is not a life threatening procedure.
  • Be cool and follow the instruction given by the doctor for cystoscopy.

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