Flexible Cystoscopy

Only Center In Hyderabad To Offer Office Cystoscopy With Latest State Of Art Flexible Cystoscope

What is Cystoscopy?

Cystoscopy is a procedure using a thin lighted tube to view the inner lining of the bladder. The viewing device is called the cystoscope which doctors insert into the bladder through the urethra.

What is Flexible Cystoscope?

Flexible cystoscope utilizes fiber optic lens endoscope in a soft plastic sheath, unlike the rigid cystoscope which has glass lenses held within a metal sheath. In addition to viewing and recording images of the bladder, the doctor may use the cystoscope for taking tissue samples or removing tumors, as well as direct treatment (infusion of antibiotics) of the affected area.

What are the advantages of Flexible Cystoscopy?

* Procedure can be done on an outpatient basis.
* Its faster and more affordable
* Greater comfort for the patient
* Ability to perform the procedure in a supine position
* Ease of passing the instrument over an elevated bladder neck
* Ability to inspect at any angle with deflection of the tip of the instrument.

What are the indications for Flexible Cystoscopy?

Hematuria and voiding dysfunction are the most common indications for cystoscopy.

Other indications for flexible cystoscopy are:

* Interstitial cystitis (IC): Hunner’s Ulcers/Glomevulations
* Infection of the bladder (bacterial cystitis, viral cystitis, tuberculous cystitis, malacoplakia)
* Infections of the urethra (urethritis, urethral syndrome)
* Malignant processes (carcinoma-in-sitis, transitional cell carcinoma of the bladder)
* Other inflamatory diseases of the bladder (e.g radiation & cyclophosphamide induced cystitis)
* Prostate Disease (prostatitis, prostalith, benign prostatic hyperplasia)
* Pre and post evaluation of prostate gland (upon medical or surgical management
) * Any form of incontinence (stress, overflow, total functional)
* Sphincter problems (dysfunctional, post-surgical, or trauma)
* Unstable bladder after history or cystometrogram
* Fertility work-up (strictures, mass, fistula)

Preparing for Flexible Cystoscopy

Any infection must be cleared up before the procedure. If patient has a urinary tract infection, the doctor will treat it with antibiotics before performing the procedure. Depending on the doctor’s recommendation, patient may be given a course of antibiotics as well if patient has a medical condition that increases risk for infection. The doctor will advise patient on which medicines to avoid and for how long, as taking aspirin, ibuprofen or other blood thinners may cause unnecessary bleeding after the procedure.

Following a Flexible Cystoscopy

* Drink plenty of water after cystoscopy, unless instructed otherwise
* It is normal for patient to see a little blood in the urine after the procedure.
* Patient may experience some mild discomfort on urination after the procedure.
* Patient must call the doctor if patient experiences :
- Persistent or serious pain or burning after the procedure
- Temperature rises above 38C
- Nausea, vomiting or shaking chills
- Unable to urinate when bladder is full
- Urine is darker than light pink
- Visible blood clots

Is the procedure painful?

Local or general anesthesia will minimize any sensation that patient would otherwise feel from the cystoscope.