Cytoscopy
A procedure to look into your bladder with a telescope
Why is cytoscopy performed?
This test is usually performed to help finding the cause of your symptoms such as:
Recurrent bladder infection
Overactive bladder or urge urinary incontinence failed to improve with treatment
Microscopic haematuria
Unusual cells in urine sample
Bladder pain syndrome
During surgical procedure such as incontinence or hysterectomy to ensure no injury to the lower urinary tract
What does the procedure involve?
A small rigid telescope will be inserted into your bladder to establish the cause of your symptoms. This test may be performed in the office or in operating theatre
Cystoscopy is usually performed concurrently with urodynamics study as an awake day procedure. A small amount of local anaesthetic gel will be injected into your bladder to minimise discomfort during the procedure
Most patients have the procedure under general anaesthesia for 10 minutes if it is performed as sole procedure. Concurrent bladder biopsy can be performed if indicated.
A short-term bladder distension (hydrodistension) may be performed under general anaesthesia to rule out interstitial cystitis for patients with bladder pain syndrome.
In the setting of incontinence or pelvic organ prolapse surgery, a cystoscopy is usually performed at the end of the procedure.
What are the risks associated with cytoscopy?
Complication risks following a cystoscopy are very low. The risks are:
Urinary tract infection
Injury to bladder or urethra
Blood stained urine
Need for further procedure depending on the indications of testing
Care after proceedure
Drink plenty fluid to flush out bacteria for the next 24-48 hours
Ural sachets will be given to reduce burning or stinging sensation
Seek advice and treatment from your GP if you develop symptoms of a urinary tract infection