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Flexible cystoscopy

Cystoscopy is a procedure followed by physicians to examine the inside of the urinary bladder using an instrument called cystoscope which is inserted to the bladder through urethra.Urethra is the tube starting from bladder through which urine is passed out of human body. A flexible scope is made of thin fiberoptic fibres and hence causes minimal discomfort during examination. What is seen through telescope is displayed in a monitor visible to the surgeon.

Why is cystoscopy done?

Cystoscopy is usually done to find out the causes for one or more of the following conditions.

  • Urinary tract infections.
  • hermaturia which is a condition in which blood is passed through urine.
  • Incontinence which is a condition in which urine is passed without any control.
  • Pain during urination.

When urine contains unusual cells.

How cystoscopy is performed?

Usually cystoscopy is carried out as an outpatient procedure. This procedure can be done while the patient is awake. In some cases mild sedatives are given to relax the patient. The patient will be allowed to lie on his back wearing hospital gown on a couch. The opening of the urethra is cleaned. Some jelly containing local aesthetic will be applied into the opening of the urethra which helps the cystoscope to pass through the urethra without discomfort. The cystoscope is gently pushed into the bladder through urethra. Normally it takes only 10-15 minutes to complete the procedure. But if any procedure like taking a sample for biopsy is also carried out the time may increase. After completing the procedure the cystoscope is gently pulled out. The doctor will inform the patient the results of cystocopy immediately. The sample taken through biopsy is sent for examination with the help of a microscope which may take several days for getting the result. General anesthesia or spinal anesthesia becomes necessary in some cases, especially when rigid cystoscope is used.

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