Cystoscopy

What is a Cystoscopy?

A cystoscopy is a diagnostic procedure that directly visualises the bladder and urethra using a thin, flexible or rigid tube equipped with a camera and light. This procedure is essential for identifying and managing bladder-related conditions, including bladder cancer, urinary tract infections (UTIs), and other abnormalities. The urologist performs either a flexible or rigid cystoscopy, depending on the indication.

These procedures are particularly effective for diagnosing urinary tract issues in their earliest, most treatable stages.

Understanding the bladder and urinary system

The bladder is a hollow, muscular organ in the lower abdomen. It stores urine produced by the kidneys. The urinary system, including the bladder, ureters, and urethra, is thoroughly examined during a cystoscopy to detect abnormalities.

A cystoscopy is recommended for individuals experiencing symptoms like blood in the urine (haematuria), frequent urination, or unexplained urinary changes. Early detection through cystoscopy significantly improves outcomes; for instance, if bladder cancer is detected only at Stage 1, around 80% of patients will survive for 5 years or more.

Cystoscopy procedure options

LivingCare offers advanced cystoscopy services in Sheffield and Leeds to support comprehensive urinary system assessment. Our cystoscopy options include the following:

1. Flexible Video Cystoscopy
2. Rigid Cystoscopy

These methods enable our urology specialists to thoroughly evaluate the urinary system and identify any abnormalities or lesions. Early detection is important for successful treatment outcomes.

How a Cystoscopy works

Flexible Cystoscopy

This procedure uses a thin, flexible cystoscope with a camera to examine the bladder’s interior directly. High-definition video imaging lets our specialists visualise suspicious areas or abnormalities in real time. Flexible cystoscopy is effective for identifying early signs of bladder cancer and other conditions.

Rigid Cystoscopy

This procedure uses a rigid cystoscope to provide a clear and stable view of the bladder. It is often used during an examination when biopsies or minor surgical interventions are required.

What to expect when having a Cystoscopy

Flexible Video Cystoscopy

Before: The urologist may ask for a urine sample to rule out infections before the procedure. A local anaesthetic gel is applied.

During: A flexible cystoscope is carefully inserted through the urethra to examine the bladder. Mild discomfort is possible, but the procedure is well-tolerated for both male and female patients.

After: Normal activities can usually resume immediately, though mild urinary symptoms may persist for 24-48 hours.

Rigid Cystoscopy:

Before: The urologist will perform the procedure under local or general anaesthesia, depending on the patient's needs.

During: The rigid cystoscope is inserted to allow for a detailed examination or to perform biopsies if necessary.

After: Recovery time depends on the level of anaesthesia. After local anaesthesia, the patient can go home the same day once the effects have worked off and they can urinate.

Risks and complications of a Cystoscopy

While cystoscopy procedures are generally safe, there are potential risks:

• Urinary tract infection (UTI): Rare, but minimised through sterile techniques and antibiotics.
• Mild discomfort: Temporary symptoms like burning or increased frequency may occur.

How to recover from a Cystoscopy

Recovery is typically straightforward, with most patients resuming normal activities within 24 hours of cystoscopy. Drinking plenty of water and following post-procedure instructions will aid recovery. For rigid cystoscopy, recovery might take slightly longer. Your LivingCare contact will arrange follow-up appointments to discuss results and any recommended treatment plans.