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Cystoscopy

Front view cross section of bladder showing cystoscope inserted through ureter.

Cystoscopy is a procedure that lets your healthcare provider look directly inside your urethra and bladder. It can be used to:

  • Help diagnose a problem with your urethra, bladder, or kidneys.

  • Take a sample (biopsy) of bladder or urethral tissue.

  • Treat certain problems (such as removing kidney stones).

  • Place a tube (stent) to bypass a blockage.

  • Take special X-rays of the kidneys.

Based on the findings, your provider may advise other tests or treatments.

What is a cystoscope?

A cystoscope is a telescope-like tube that contains lenses and small glass wires that make bright light (fiberoptics). The cystoscope may be straight and rigid. Or it may be flexible to bend around curves in the urethra. The healthcare provider may look directly into the cystoscope, or project the image onto a screen.

Getting ready

  • Ask your healthcare provider if you should stop taking any medicines before the procedure.

  • Follow any directions you are given for not eating or drinking before the procedure.

  • Follow any other instructions your healthcare provider gives you.

Tell your healthcare provider before the exam if you:

  • Take any medicines, such as aspirin or blood thinners. This also includes any over-the-counter and prescription medicines, vitamins, herbs, and other supplements.

  • Have allergies to any medicines

  • Are pregnant or think you may be pregnant

During the procedure

Cystoscopy is done in the healthcare provider’s office, surgery center, or hospital. The doctor and a nurse are present during the procedure. It takes only a few minutes. It takes longer if a biopsy, X-ray, or treatment needs to be done.

During the procedure:

  • You lie on an exam table on your back, knees bent and legs apart. You are covered with a drape.

  • Your urethra and the area around it are washed. Anesthetic jelly may be applied to numb the urethra. Other pain medicine is often not needed. In some cases, you may be offered a mild sedative to help you relax. If a more extensive procedure is to be done, such as a biopsy or kidney stone removal, general anesthesia may be needed. Often a one-time antibiotic is given.

  • The cystoscope is inserted. A sterile fluid is put into the bladder to expand it. You may feel pressure from this fluid.

  • When the procedure is done, the cystoscope is removed.

After the procedure

If you had a sedative, general anesthesia, or spinal anesthesia, you must have someone drive you home. Once you’re home:

  • Drink plenty of fluids.

  • You may have burning or light bleeding when you urinate. This is normal.

  • Medicines may be prescribed to ease any mild pain or prevent infection. Take these as directed.

  • Call your healthcare provider if you have heavy bleeding or blood clots, burning that lasts more than a day, a fever over  100° F  ( 38°C ), or trouble urinating.

Online Medical Reviewer: Donna Freeborn PhD CNM FNP
Online Medical Reviewer: Marc Greenstein MD
Online Medical Reviewer: Raymond Kent Turley BSN MSN RN
Date Last Reviewed: 10/1/2019
© 2000-2019 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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