Cystoscopy

What you should know

Cystoscopy is a procedure to examine the inside of your bladder with a scope. A scope is a small tube with a light and camera on the end. Dye may be used to help your caregiver see your bladder better.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

  • You may feel pain or discomfort when a rigid scope is used during your procedure. Small or flat tumors may not be seen with a rigid or flexible scope. Inflamed cells may be mistaken for tumors when fluorescence cystoscopy is done. Dye used for fluorescence cystoscopy may cause damage to your skin. You may get an infection, have blood in your urine, or have swelling that blocks the flow of urine. You may have pain when your urinate, feel like you need to urinate right away, or have difficulty having a bowel movement. After your procedure, you may have headaches or dizziness. You may lose your appetite, have nausea, or vomit.

  • If you do not have the cystoscopy, the cause of your bladder problems may not be found or treated. Your signs and symptoms may not resolve and may get worse.

Getting Ready

Before your procedure:

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • If you smoke, your caregiver may tell you not to smoke for at least 12 hours before your procedure. You may also need to avoid drinks with alcohol and caffeine.

  • If you have a urinary infection, you may need to take antibiotic medicine before your procedure. Antibiotic medicine helps kill the bacteria that caused your infection. Ask your caregiver if you need to take this medicine.

  • You may need to have blood and urine tests done before your procedure. Ask your caregiver for more information about these and other tests that you may need. Write down the date, time, and location of each test.

  • Write down the correct date, time, and location of your procedure.

Night before your procedure:

  • Ask caregivers about directions for eating and drinking.

Day of your procedure:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • If you need a fluorescence cystoscopy, your caregiver will put a dye into your bladder. The dye will need to be in your bladder for a short period of time before your procedure starts. Tell caregivers if you are allergic to iodine or shellfish. You may also be allergic to the dye.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

  • You will be taken to the room where your procedure will be done. You will be given anesthesia medicine to make you comfortable during your procedure. You may also have numbing medicine put into your urethra to decrease pain. During your procedure, you may be fully asleep or you may be drowsy and numb in your hips and legs.

  • Your caregiver will put a cystoscope through your urethra and into your bladder. Your caregiver will carefully check your bladder for problems or abnormal growths. Dye may be put into your urethra so your caregiver can take samples of your bladder cells. The dye will make the bladder cells show up better under a microscope. Your caregiver may take tissue samples from your bladder and send them to a lab for tests. He may remove stones or abnormal growths. He may place or remove a stent, which is a bendable tube put into your urethra to help you urinate. When your procedure is finished, your caregiver will carefully remove the scope.

After your procedure:

You will be taken to a room where you can rest. You will stay there until you are fully awake and feeling returns in your hips and legs. Caregivers will watch you closely for any problems. Do not get out of bed until your caregiver says it is okay. When caregivers see that you are okay, you may be able to go home. If you are staying in the hospital, you will be taken back to your room.

Contact a caregiver if

  • You cannot make it to your procedure.

  • You get a cold or the flu.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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