FLEXIBLE CYSTOSCOPY

WHAT IS A FLEXIBLE CYSTOSCOPY?
Cystoscopy is performed by the urologist to have direct vision into the bladder, urethra (the channel that you urinate) and men inside the prostate gland.
This is done with a thin, flexible, telescoping apparatus called flexible cystoscope through the urethra. A local anaesthetic is used to numb the area. This means that you do not need general anesthesia . Thanks to the flexibility of the machine the process becomes almost painless. Done as an outpatient saving the patient time and money.

WHEN IS CYSTOSCOPY REQUIRED?
A flexible cystoscopy is necessary to see what happens in the bladder and urethra. It can detect bladder stones and detect any changes in the bladder wall, such as inflammation, infection, cancer, or scarring. It is also used in men to see if there is a swelling of the prostate gland or urethral stricture that may cause obstruction and make the passage of urine difficult.
During a flexible cystoscopy the doctor, may also, if necessary, take tissue samples (biopsy) or remove stents which were placed during a previous surgery.

WHAT HAPPENS DURING THE DAY OF THE CYSTOSCOPY?
Before cystoscopy it may be prompted to go to the toilet to empty your bladder. The nurse then will prepare you to be comfortable in bed.
The physician then introduces a lubricating anesthetic gel into the urethra.
Looking through the viewing lens doctor guides the cystoscope into the urethra and bladder. Sterile water is passed through a narrow channel in the cystoscope into the bladder. Because of this, the bladder is usually full at the end of the process, and you may feel that you need to go to the toilet.

AFTER THE PROCEDURE ?
Once complete, the doctor will inform you and will write you a letter about the findings. If you need further treatment because of what the doctor has found you may need to go to hospital later. The doctor will discuss with you and nurse will give you further information and explanations on any further proceedings which may arise.

HOW LONG DOES IT TAKE?
Flexible cystoscopy usually takes only a few minutes to do and then be able to return home.

WHAT TO DO AT HOME?

• It is important to increase fluid intake during the first 24 hours after the procedure. This helps prevent infection, clear any blood and pass any small clots.
• After the procedure your urine may be slightly red and because the urine is normally acidic, you may experience small "stinging" when emptying the bladder. This is normal , clears within a day and so do not worry.
• If you are unable to urinate, have persistent "burning" or "stinging" or pain, urinary infection signs, or any heavy bleeding, then contact the doctor who will be happy to advise you.