When diagnosing certain urological problems, a physician may use a Cystoscopy. This is a specific diagnostic tool that allows a view inside the bladder and the urethra using a medical instrument known as a cystoscope. This instrument is inserted into the urethra and carefully advanced into the bladder in order to examine areas of the urological system that remain hidden even on X-Rays. During the procedure, surgical instruments can also be inserted that will allow the doctor to remove samples of tissue for biopsy as well as other biological samples. In addition, small bladder stones and other small growths can be removed which may eliminate the need for more extensive surgery.The procedure is generally performed using a local, spinal, or general anesthesia by an urologist in a clinical testing room, in a hospital, or a doctor’s office. After the cystoscope is inserted, a sterile fluid is injected through the scope to help expand your bladder and to create a clear view for mapping; medicine may also be injected to reduce chances of infection. The cystoscope is usually in your bladder for about ten minutes and most people report that the procedure is not nearly as uncomfortable as they had expected.
Concerning the after effects of anesthesia, patients feel nothing during the test; however, once the anesthetic wears off patients have reported feeling tired, achy, and nauseous. If a local anesthetic is used, patients may experience a burning sensation when the instrument is inserted and removed. When a spinal anesthetic is used, patients may find it uncomfortable to lie curled up while the anesthetic is injected.
While a pinkish tinge to the urine is common for several days following the cystoscopy, it is important to notify an urologist immediately if the patient experiences any of the following:
- The urine remains red or if blood clots present
- Inability to urinate eight hours following the test
- Onset of fever, chills, or severe abdominal which may be signs of a kidney infection