Using a cystoscope a thin, flexible, or rigid tube equipped with a camera and light a urologist can perform a diagnostic and occasionally therapeutic procedure called a cystoscopy, which enables them to look inside the bladder and urethra.
Cystoscopy types include:
1. Cystoscopy that is flexible
- Uses a flexible scope without the need for light sedation or anesthesia.
- Usually carried out for diagnostic purposes in the office.
2. Cystoscopy that is rigid
- Requires spinal or general anesthesia and uses a solid metal scope.
- Used for tumour resection, stone removal, and biopsies.
What Makes a Cystoscopy Happen?
Reasons for Diagnosis:
- Hematuria, or blood in the urine.
- Recurrent urinary tract infections (UTIs).
- Urinary retention or incontinence.
- Bladder cancer suspicion (e.g., abnormal imaging).
- Interstitial cystitis, or bladder pain.
- Blockages or strictures in the urine.
Therapeutic Applications:
- Get rid of any foreign objects or bladder stones.
- Perform biopsies.
- Treat urethral dilatation, or strictures.
- Ureteral stents can be inserted or removed.
- Inject drugs (such as Botox for excessive bladder activity).
Signs That Could Call for a Cystoscopy
- Hematuria (blood in the urine, either visible or microscopic).
- Chronic discomfort when urinating (dysuria).
- Frequent UTIs with no apparent reason.
- Pelvic or lower abdominal pain.
- Weak urine stream or trouble urinating.
- Issues with bladder control (urgency, leakage).
