Cystoscopy involves the examination of the inside of the bladder, prostate (in men), and urethra using a cystoscope, a thin, flexible tube with a light and camera on the end. It can provide detailed information about the size, shape, and condition of the bladder, prostate, and urethra, and help guide treatment decisions.
During a cystoscopy, the cystoscope is inserted into the urethra and quickly advanced into the bladder. The camera on the end of the cystoscope transmits images to a monitor, allowing the urologist to examine the bladder, prostate, and urethra for abnormalities such as tumors, stones, prostate enlargement, or infections. It can also be used to collect tissue samples or remove small growths during the procedure for further testing.
Cystoscopy is usually performed in the office under local anesthesia with an option for nitrous oxide analgesia (laughing gas), depending on the patient's preference and the complexity of the procedure. The duration of the procedure can vary depending on the reason for the cystoscopy but typically lasts between 1 to 5 minutes. Most patients tolerate the procedure with mild discomfort, though some may experience significant discomfort. After the procedure, the patient may experience burning during urination, as well as some blood in the urine. These symptoms usually subside within a few hours to a day.