Cystoscopy

If you have a bladder condition such as neurogenic bladder or urinary incontinence, your doctor may order a cystoscopy to monitor the inside of your urethra and bladder. Our team of experienced urologists will help you understand the procedure, answer any questions and provide compassionate care throughout the procedure.

The cystoscope enables the doctor to carefully examine the complete length of the urethra and the interior of the bladder. By doing so, your provider can identify and diagnose issues such as polyps, narrow areas called strictures, abnormal growths and other potential urological health problems. They can also take a biopsy during the procedure.

A cystoscopy can be performed at your provider’s office, hospital or clinic. Typically, you’d return home on the same day.

Reasons you may need a cystoscopy procedure

A cystoscopy procedure is commonly used to diagnose and monitor various urological conditions, including urinary tract infections, bladder stones, tumors and other issues affecting the urinary system.

Some common reasons your provider may recommend a cystoscopy include:

• Frequent urinary tract infections (UTIs)
• Blood in the urine (hematuria)
• Bladder stones
• Bladder cancer
• Urinary incontinence
• Narrow urethra
• Abnormal urine or imaging test
• Monitoring treatment

What to expect during a cystoscopy

A cystoscopy test is typically a quick procedure. You'll be lying down, and your doctor may give you a sedative or general anesthesia to help you relax or sleep through the procedure. You should also plan to have a ride to and from the testing facility.

How to prepare for a cystoscopy

To prepare for your cystoscopy, your provider may prescribe antibiotics before testing. If you are having anesthesia, you'll have to fast the night before testing.

You'll also have to empty your bladder before testing. It’s a good idea to wait until before your test to empty your bladder in case you need to provide a urine sample.

What happens during a cystoscopy test?

First, your provider will use a numbing cream that helps with any pain during the procedure. Once numb, the cystoscopy scope is inserted into your urethra and bladder. You may feel some pressure and discomfort during this part of the test.

In some cases, your provider may insert a sterile solution into your bladder to expand it for better visibility. If necessary, your provider will take tissue samples (biopsies) to further check for any abnormalities.

The cystoscope is carefully removed once the exam is complete.

Recovery after a cystoscopy

Since a cystoscopy is an outpatient procedure, you may be able to resume normal activities the same day. If you were sedated or given anesthesia, you may be asked to wait in recovery until the medication wears off.

You may feel a burning sensation when you urinate and notice some pinkish coloring in your urine. Drinking plenty of fluids and taking over-the-counter pain medication may help relieve any discomfort.

You might also experience frequent urination for a couple of days after the procedure. Your provider will discuss any specific instructions and follow-up care with you after the procedure.

Cystoscopy risks

A cystoscopy is generally a safe and routine procedure. While uncommon, there are some potential cystoscopy risks. These include:

• Discomfort or pain
• Bleeding
• Urinary tract infection (UTIs)
• Allergic reaction to the anesthesia
• Scaring or narrowing of the urethra

Tell your provider about any pre-existing conditions, allergies or medications you are taking prior to the procedure to minimize risks. If you experience persistent bleeding, severe pain or show signs of an infection, such as a fever or chills, contact your provider right away.

Results from your cystoscopy

Your doctor may talk to you about the results of your cystoscopy immediately after testing, or during a follow-up appointment. If you had a biopsy during the procedure, it may take some time to get test results analyzed.