What Is Cystoscopy? If you have trouble urinating or if you have blood in your urine, your urologist will likely advise you to have a bladder endoscopy. What to expect.
If you need a bladderoscopy, your urologist will insert a special endoscopic instrument, the cystoscope, into your urethra. The cytoscope is a thin tube or a thin, elastic tube, each connected to a camera. This allows the doctor to examine the lower urinary tract.
Differences In Men And Women:
Since women three to four inches long have a much shorter urethra, the urethra is much easier in their case. For men whose urethra is 25 to 30 centimeters long and curved, doctors prefer to use the elastic tube, which makes the examination relatively painless. The rigid tube has the advantage that further instruments can be inserted through it, for example to take tissue samples or perform small operations.
What Is Cystoscopy?
With a cystoscopy, the urologist can take a look inside the ureter and bladder. He can tell if
- The urinary tract is anatomically altered.
- There is a narrowing of the urethra.
- The mucous membrane has become inflamed.
- Your prostate is enlarged.
- The bladder sphincter works.
- You have bladder stones
- There are foreign objects in the bladder.
- There are bladder diverticula (bulges in the bladder wall).
- There is a tumor.
When To Have a Cystoscopy:
Your urologist will advise you to have a uroscopy if
- You have permanent pain when urinating.
- Shows blood in your urine even though you do not have a cystitis.
- You have had visible blood in your urine even once and your bladder is not inflamed.
- A woman talking to her doctor
Small Operations Under Local Anesthesia:
During a cystoscopy, your urologist can also take tissue samples and perform minor operations under anesthesia. He can for example
- Cut out superficial tumors or bladder stones with a snare.
- Remove foreign bodies.
- Shrink the prostate.
This is How the Urologist Does The Examination
The examination is usually carried out on an outpatient basis. So you can go home straight away after the bladderoscopy in the practice or in the hospital. This does not apply if your doctor carries out a minor surgical procedure under anesthesia during the examination. Then you have to stay in the clinic afterwards.
Local anesthesia is sufficient for the outpatient procedure. To do this, the doctor inserts a lubricant gel that contains anesthetic into the urethra. Once it has worked, he pushes the rod or tube of the cystoscope through the urethra to the bladder, while at the same time rinsing with water. The fluid fills the urinary bladder, causing the mucous membrane to unfold and therefore easy to see.
These Are The Risks of The Procedure:
The idea that the doctor pushes a tube through the ureter into the bladder discourages many from the treatment. With cystoscopes with flexible tubes, the examination is painless, even for men. However, there are certain risks of the procedure:
- Burning and Painful Urination: Sometimes blood can even be seen in the urine. These are the consequences of the mechanical irritation from the cystoscope. The symptoms usually go away on their own.
- Urinary Tract Infections, inflammation of the prostate or kidney: One problem with the uroscopy is that despite the greatest possible hygienic precautions, pathogens can penetrate the urethra and the urinary bladder through the examination. As a preventive measure, you should therefore drink a lot after the procedure so that germs can be rinsed out naturally.
- If You Suffer from certain metabolic diseases, for example diabetes mellitus , your susceptibility to infections is increased. Then your doctor will give you an antibiotic as a precaution after the examination.
- Temporary urinary incontinence
Who Bears the Costs of the Examination:
If the cystoscopy is medically necessary, the statutory health insurance will cover the costs.