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Medical Video: Cystoscopy Procedure Mercy
Definition
What is rigid cystoscopy?
Rigid cystoscopy is a procedure for examining abnormalities in the bladder using a cystoscope (rigid telescope). In some cases, bladder and urinary abnormalities can be treated together. This procedure may be recommended if the patient experiences pain, blood in the urine or recurrent infection, or irritation of the bladder (uncontrolled urination).
When do I need to undergo rigid cystoscopy?
There is a suspected abnormality in the bladder when blood is found in urine, repeated infections or irritation of the bladder (uncontrolled urinary urge). If a problem is found during cystoscopy, the doctor may conduct a biopsy (remove a small piece of tissue), or use medication cystoscope itself. But if the results of normal cystoscopy, the doctor will immediately notify the patient.
Prevention & warning
What should I know before undergoing rigid cystoscopy?
For accurate examination, the doctor will recommend rigid cystoscopy. However, the decision remains in the patient's hands.
What are the consequences if I don't undergo rigid cystoscopy?
Doctors cannot diagnose disease accurately. Discuss with your doctor if you decide not to undergo this examination procedure.
Are there alternatives to surgery?
Scan examinations are only able to provide information relating to the causes of disease problems. However, cystoscopy more often leads to a diagnosis of the disease. Some abnormalities in the bladder can only be seen with a cystoscope. Flexible cystoscopy only requires gel anesthesia. However, certain types of bladder and urinary abnormalities cannot be diagnosed using flexible cystoscopy.
Process
What should I do before undergoing rigid cystoscopy?
Make sure you tell the doctor about the medicines being consumed and follow the doctor's directions. Before this procedure begins, avoid consuming warfarin or clopidogrel. For diabetics, sugar levels must be controlled before the procedure. The doctor will give instructions when you can take the drug. For patients who are undergoing blood pressure treatment using beta-blockers, it is permissible to continue taking the drug as usual. For smokers, avoid smoking a few weeks or more before the procedure is done. This can reduce the risk of complications and improve long-term health.
What is the process of rigid cystoscopy?
This procedure is usually performed under general or spinal anesthesia. In general, the procedure takes less than 30 minutes. The doctor will insert a cystoscope into the patient's bladder through the urethra. Using a cystoscope, the doctor will look for abnormalities in the bladder layer and do a biopsy if needed. If a bladder stone is found, the doctor may take it through a cystoscope.
What should I do after undergoing rigid cystoscopy?
You are allowed to go home the same day after recovering from anesthesia and can urinate normally. You can return to activity after cystoscopy unless the doctor gives instructions otherwise. Regular exercise has been shown to accelerate recovery. But before deciding to exercise, ask for a doctor's advice. Our doctor will notify the results of cystoscopy findings and discuss treatment or follow-up needed.
Complications
What complications can occur?
For rigid cystoscopy, complications that may occur are:
Bleeding during or after undergoing the procedure. When you urinate for the first time, you may find blood in your urine. Most of this is found by women who undergo biopsies. Bleeding is usually very little. The health team will use a catheter (tube) into your bladder to wash blood or remove blood clots (called 'bladder washout').
Infection. If you become more frequent urinating, feel pain, and a small amount of urine is released, you may get an infection. If these symptoms get worse, contact your doctor immediately. This infection may need to be treated with antibiotics.
Urethral narrowing (urethral stricture), caused by the formation of scar tissue. This condition is rarely found after a patient has undergone a single cystoscopy process. But if this happens, you need further treatment by surgery. (Risk range: less than 1 to 1,000).
Perforated bladder. If this happens, you need to use a catheter placed in the bladder for several days while the hole is healed. If the hole does not heal, you need further treatment by surgery.
If the information you have is unclear, discuss the possibility of this complication with your doctor.
Hello Health Group does not provide medical advice, diagnosis or treatment.
