Having a Cystoscopy

Arrangements have been made for an examination of the inside of your bladder. This procedure is called a Flexible Cystoscopy.

The Cystoscope is a thin flexible tube (slimmer than a pencil) with a bright light at the end. The Image can be seen on a television screen and you will be able to watch the procedure if you wish. The Cystoscope is passed down the urethra so the Doctor is able to examine the inside of the bladder and the urethra.

Cystoscopy is an accurate investigation to find the cause of your symptoms. However, you could discuss the options with the Clinician.

On arrival at the Endoscopy Unit, report to the reception desk where your personal details will be checked. A member of the Nursing staff will then take you to the changing area where you will change into a gown.

The procedure will be explained if necessary. Depending on the Clinician, you may or may not be asked to empty your bladder, prior to the procedure being performed. A fresh sample of urine for testing may be required on admission to the Unit.

In the examination room, the Clinician will take your medical history.

You will be asked to lay on the couch on your back. A nurse will be at your side throughout the procedure and explain what is going to happen next. The Clinician will clean between your legs with a mild antiseptic solution, and using drapes, will maintain your dignity at all times. A local anaesthetic gel may be used, which numbs and lubricates the urethra.

The Clinician gently inserts the tip of the instrument into the urethra, advancing slowly into the bladder. Fluid is run into the bladder through the cystoscope, to enable the Doctor to have a clear view.

No, but whilst the bladder is being filled, you may have some slight discomfort.

Less than 5 minutes, on average, The time may depend on whether tissue samples have to be taken.

Occasionally, the Clinician may need to take a biopsy specimen from the bladder for analysis/testing in the laboratory. A very small piece of tissue is obtained, painlessly, through the cystoscope, using tiny forceps. There may be slight bleeding when passing urine for up to 24 hours after the procedure.

You may find it necessary to empty your bladder. A further specimen of urine may be required for testing. If, after the procedure, the urine is blood stained, you will be asked to drink plenty of fluids to clear the urine, before you are discharged from the Unit.

The majority of patients have no trouble after this procedure. A mild burning on passing urine usually subsides after a day or so. Drinking extra water usually eases this symptom.

An occasional problem after having a flexible cystoscopy is an infection in your urine. If you have a temperature, pain, persistent burning or bleeding when passing water, you must contact your General Practitioner (GP).

Drinking water can help.