Cystoscopy is a visualization of the interior of the urinary bladder by going in through the urethra. A flexible instrument known as a cystoscope is used by Dr. Fleming to perform this procedure.
The cystoscope has a camera or a lens at one end of a flexible tube that is smaller than a pencil in diameter. The other end is either connected to a computer monitor (and you can see the results) or has a lens to look into.
A cystoscopy may be performed in our office for several reasons:
- Urinary tract infections
- Blood in the urine (hematuria)
- Abnormal cells found in urine
- Urinary retention
- Urinary blockage
- Urinary leakage
- Painful urination or pelvic pain
Although cystoscopy sounds frightening, it goes very quickly and is much less painful than one would expect. Unlike some other urologists, Dr. Fleming only uses the latest designs in flexible cystoscopes by Olympus.
In women, Dr. Fleming may start with a limited vaginal exam, and have you bear down to detect leakage or movement prior to inserting the cystoscope.
In men, he will apply numbing gel to the cystoscope and insert it slowly into the urethra, visualizing the urethral lining of the penis. He will then advance gently and examine the area where the urethra travels through the prostate, looking for narrowings or other abnormalities.
For men and women, once in the bladder, Dr. Fleming will add some fluid to inflate it. Then over the next few moments, he will examine the inner wall of the bladder looking for inflammation, bleeding, lesions, stones or growths.
After the examination the cystoscope is gently removed, and you are allowed to dress and discuss the results.
What to Expect After the Cystoscopy:
Most people tolerate an office cystoscopy very well and are surprised at how painless it was.
You may experience some blood in your urine or burning with urination for the first 24 hours. This will quickly resolve. If it does not, please call the office for evaluation.
If we anticipate your situation is going to be different than the norm, we will discuss this with you prior to the procedure.
After Your Cystoscopy
After your cystoscopy, you may be allowed to go about your day normally. If you had been given sedation or general anesthesia from a procedure in the OR, you may be asked to remain a recovery area to let the effects of the medication wear off before you leave.
You might experience some side effects after cystoscopy, such as:
- Bleeding from your urethra, which may appear bright pink in your urine or on toilet tissue.
- A burning sensation during urination.
- More frequent urination for a day or two.
You can relieve some of the discomfort if you:
- Hold a warm moist washcloth over the opening to your urethra to help relieve the pain. This can be repeated as needed.
- Drink plenty of fluids to flush out your bladder. This can reduce irritation. Try to drink 16 ounces of water every hour for the first few hours after your cystoscopy.
Call Lakeshore Urology at 616-604-8363 or 231-733-7333 if you have questions or concerns.