CYSTOSCOPY

A Cystoscopy is an examination of the inside of the bladder and the urethra (the tube that drains the bladder to the outside), done with a special viewing camera. It is more accurate than standard ultrasound or CT imaging when it comes to diagnosing conditions of the lower urinary tract (bladder, prostate and urethra). There are 2 types of cystoscopes (cameras); a flexible cystoscope and a rigid cystoscope. When a cystoscopy is needed for simple diagnostic reasons or to remove a ureteric stent, a flexible cystoscopy is done because it can be done under a local anaesthetic. If more complex additional procedures are anticipated, then a rigid cystoscopy is done. A rigid cystoscope allows more instruments to be used through it and it is more uncomfortable for the patient, hence, it is done under a general or a spinal anaesthetic.

 

 

 

 

 

WHAT CAN I EXPECT AFTER THE PROCEDURE?

  • Burning when passing urine for 1-2 days

  • Voiding more frequently than usual

  • Mild blood in the urine

 

WHAT ABOUT DIET?

  • Drink plenty of fluids (8-10 glasses or 2-3 litres)

  • Eat a diet high in fibre to prevent the need for straining when using your bowels

 

WHAT ABOUT EXERCISE/ACTIVITY?

  • Avoid strenuous activity, heavy lifting or engage in sports for the next day unless otherwise instructed by your doctor

  • If you had sedation avoid driving a car, motorcycle or riding a bike for 24 hours after your procedure and do not walk home or travel alone by public transport

           

WHAT ABOUT MEDICATIONS?

  • You can resume your usual medications

  • If your blood thinning medication was stopped, your Doctor will let you know when to recommence

  • You can take 1-2 paracetamol every 4-6 hours for pain and discomfort (no more than 8 in a day)

  • Ural sachets (urine alkaliser) available from chemists and supermarkets, reduce acidity of the urine and provide relief from symptoms such as burning and stinging

 

WHAT ARE THE POSSIBLE COMPLICATIONS?

  • Significant bleeding, possibly with clots

  • Urinary infection

  • Urinary retention (unable to pass urine)

 

NOTIFY GEELONG UROLOGY or your GP if you experience any of the following:

  • Heavy bleeding – urine that looks like pure blood

  • Increased discomfort, severe pain and burning when passing urine

  • Cloudy or offensive urine

  • Fever (temperature over 37.5 degrees), chills, shakes or feeling generally unwell

  • Increasing difficulty or unable to pass urine

 

FOLLOW UP APPOINTMENT

Your doctor will generally speak to about the results of the procedure before you are discharged home and an appointment will be made by the hospital staff. If an appointment time is not given to you on discharge from hospital, you will need to phone Geelong Urology to make an appointment.

 

If you have any queries please contact Geelong Urology on 03 5229 9105 during business hours OR leave a message on the After Hours Urology Paging Service 03 9387 1000

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