How Is a Cystoscopy on the Bladder Performed and Do You Have to Be Sedated?


Quick Answer

A bladder cystoscopy can be accomplished using a flexible or a rigid scope. Most cystoscopy procedures are done in the operating room with sedation, explains eMedicineHealth. Simple procedures can be performed in the doctor’s office with the use of a local anesthetic.

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Full Answer

Cystoscopy begins with the washing of the genital region and the application of sterile drapes, according to eMedicineHealth. The lubricated cystoscope is inserted into the urethra, and the doctor examines the region with the use of a camera on the tip of the instrument. When the cystoscope reaches the bladder, the doctor drains and fills it with a sterile solution while observing the process on a television screen. When the cystoscopy is performed for urinary bleeding, the doctor irrigates the area until the bleed is found.

The procedure can also be used to locate bladder stones and other abnormalities, such as tumors, notes eMedicineHealth. The doctor can pass other instruments through the channels in the cystoscope to perform transurethral procedures, such as prostate resection, bladder resection and cauterization. When the cystoscopy is completed, the doctor drains the bladder and removes the cystoscope. Most patients are able to go home immediately after a cystoscopy when a local anesthetic is used. Patients that receive a general anesthetic usually wait 1 to 4 hours until the anesthesia wears off.

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