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Cystoscopy Examination: Understand the Detailed Steps! What to Pay Attention to Before and After the Procedure?

A cystoscopy examination is performed to aid doctors in diagnosing various diseases of the bladder, prostate, and urethra, enabling them to develop suitable treatment plans for patients. However, since cystoscopy is an invasive procedure, some individuals may have concerns about it. What are the steps involved in the examinatiaon? Are there any complications? This article will address these questions one by one!
Author Bowtie Team
Date 2023-08-25
Updated on 2023-08-25
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What is a cystoscopy examination?What diseases can a cystoscopy examination diagnose?Procedure of a cystoscopy examinationRisks and complications of a cystoscopy examinationPost-cystoscopy careCost reference of a cystoscopy examinationFAQ

What is a cystoscopy examination?

A cystoscopy examination is a procedure that involves examining the inside of the bladder and urethra. A thin, hollow tube with a camera, called a cystoscope, is inserted slowly into the bladder through the urethra for examination, diagnosis, and treatment purposes.

Cystoscopy can be further categorized into flexible cystoscopy and rigid cystoscopy, each with the following characteristics:

TypeCharacteristics
Flexible CystoscopyA flexible and thin endoscope that can be performed under local anesthesia
Rigid CystoscopyThicker than a flexible cystoscope and cannot be bent. It requires general or regional anesthesia during the procedure

How long does a cystoscopy examination take?

Generally, a simple cystoscopy examination in an outpatient setting takes about 5 to 15 minutes. If partial or general anesthesia is required in a hospital setting, the procedure may take 15 to 30 minutes.

What diseases can a cystoscopy examination diagnose?

A cystoscopy examination can diagnose various urinary tract diseases, including:

In addition, cystoscopy can assist doctors in treating bladder conditions such as removing bladder polyps and understanding the causes of symptoms such as blood in the urine, frequent urination, or painful urination.

Are you suitable for a cystoscopy examination?

Although cystoscopy is an invasive procedure, it is generally safe and suitable for most individuals. However, if you have any of the following conditions, it is important to consult with your doctor before undergoing the examination to ensure its safety:

Procedure of a cystoscopy examination

Before the examination

Prior to undergoing a cystoscopy examination, you need to prepare the following:

  • Fill out and sign a consent form.
  • Ensure that your doctor has a clear understanding of your medical history, current medications, and any medication allergies.
  • Your doctor may instruct you to stop taking blood-thinning medications like aspirin a few days before the examination.
  • Depending on the type of anesthesia, your doctor may instruct you to fast for a few hours before the examination.
  • Remove all clothing and accessories, including underwear, dentures, rings, and contact lenses.
  • Empty your bladder
  • Take antibiotics if prescribed by your doctor
During the examination

The procedure of a cystoscopy examination generally follows these steps:

  • Under the guidance of your doctor, you can choose to undergo local anesthesia, monitored anesthesia, or intravenous sedation for the cystoscopy examination.
  • If a flexible cystoscope is used, you will be positioned in a supine position. If a rigid cystoscope is used, your feet will be supported.
  • Medical staff may administer sedative medications as directed by the doctor.
  • The doctor will first inject a gel-like local anesthetic into the urethra and then slowly advance the cystoscope into the bladder through the urethra.
  • During the examination, the doctor will inject sterile water or saline into the bladder through the cystoscope to expand and visualize the bladder folds. At this point, you may feel a sense of urgency to urinate.
  • The doctor may use forceps to extract a small sample of bladder tissue for further testing.
After the examination

After a cystoscopy examination, the doctor may ask you to empty your bladder immediately in the restroom. If you have received sedation or general anesthesia, you may need to stay in the hospital for a few hours for close monitoring of your response

Risks and complications of a cystoscopy examination

Generally, after a cystoscopy examination, you may experience minor symptoms such as nausea, mild urinary pain, urinary urgency, which will subside within a short period of time. However, if you experience the following complications, it is important to seek medical attention promptly:

  • Bladder infection
  • Trauma to the urethra
  • Inability to urinate after the cystoscopy examination
  • Chills
  • Fever (38.5°C or higher)
  • Bright red blood or large blood clots in the urine
  • Urinary pain or burning lasting for 2 days or more

Post-cystoscopy care

After undergoing a cystoscopy examination, it is important to drink plenty of fluids to reduce the risk of inflammation. You should aim to consume at least 2,000cc (approximately 8 cups) of water per day. You can also place a warm, moist towel at the urethral opening to alleviate pain. If necessary, you can ask your doctor for prescribed pain medication to relieve discomfort after the examination.

Unless instructed otherwise by your doctor, you can also take a warm shower, which can help alleviate pain.

Cost reference of a cystoscopy examination

HospitalExamination ItemPrice (HKD)
Gleneagles Hospital Hong KongCystoscopy (including or excluding a biopsy)From $21,539
CUHK Medical CentreCystoscopy (including or excluding a biopsy)From $24,180 

Click here to learn more about the cystoscopy charges at private hospitals.

  • #The above costs are based on previous statistics and were sourced from official hospital websites. The information was last updated on January 10, 2023
  • *The above costs includes doctor's fee and hospitalization charges

FAQ

Does a cystoscopy examination hurt?

After a cystoscopy examination, you may experience mild discomfort or bladder distension during urination, but these are normal and typically subside within hours to days.

Do I need to stay in the hospital after a cystoscopy examination?

Cystoscopy is a simple procedure, and most individuals only require local anesthesia. Once the effects of the anesthesia wear off, you can usually leave the hospital within a few hours.

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