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Cystoscopy is a test that allows your doctor to look at the inside of the bladder and the urethra using a thin, lighted instrument called a cystoscope.


Why is cystoscopy done?

  • To find the cause of symptoms such as blood in the urine (hematuria), painful urination (dysuria), urinary incontinence, urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and overwhelming need to urinate (urgency).
  • To find the cause of problems of the urinary tract, such as frequent, repeated urinary tract infections or urinary tract infections that do not respond to treatment.
  • To look for problems in the urinary tract, such as blockage in the urethra caused by an enlarged prostate, kidney stones, or tumors.
  • To evaluate problems that cannot be seen on X-ray or to further investigate problems detected by ultrasound or during intravenous pyelography, such as kidney stones or tumors.
  • To remove tissue samples for biopsy.
  • To remove foreign objects.
  • To place ureteral catheters (stents) to help urine flow from the kidneys to the bladder.

How do you prepare for the biopsy?

• Let us know if:
   o Are allergic to any medicines, including anesthetics
   o Have had bleeding problems or take blood-thinning medicine, such as aspirin or warfarin
   o Are or might be pregnant
• Stop eating the night before the test
• You may be given antibiotics

How is it done?

  • You'll be asked to empty your bladder before the procedure. Then you'll lie down on a table on your back. You'll likely be positioned with your feet in stirrups and your knees bent.
  • You may or may not need a sedative or anesthetic
  • Your doctor will insert the cystoscope, using the smallest scope possible.
  • Your doctor will examine your urethra and bladder. As the cystoscope passes through your urethra and toward your bladder, your doctor will look through a lens on the end of the cystoscope. The lens works like a telescope to magnify the inner surfaces of your urethra and your bladder. In some cases, your doctor may place a special video camera over the lens that projects the images onto a video screen.
  • Your doctor will fill your bladder with a sterile solution. Once the cystoscope reaches your bladder, your doctor will flood the bladder with a sterile solution. The solution inflates the bladder and allows your doctor to get a better look inside. As your bladder fills, you may feel the need to urinate. As soon as your cystoscopy is complete, you'll be allowed to empty your bladder.
  • Depending on your situation, your doctor may take tissue samples for lab testing or perform various procedures during the cystoscopy.

After the cystoscopy

  • After your cystoscopy, you may be allowed to go about your day. If you've been given sedation or general anesthesia, you may be asked to remain in a recovery area to let the effects of the medication wear off before you leave.
  • Drink water to flush out your bladder. This may reduce irritation. Try to drink about 500mls of water each hour for the first two hours after your cystoscopy.

The results of the cystoscopy will be discussed with you and further recommendations made.

Please contact us or call 01 2705803 and 01 8967328  if you have any questions.

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