Urogynecology and Pelvic Surgery

Cystoscopy

What is cystoscopy?

Cystoscopy is an in-office procedure that allows your physician to see inside your bladder and urethra. It’s used to determine the cause of urinary tract issues, including symptoms like:

  • Recurrent or frequent bladder infections
  • Blood in the urine
  • Abnormal cells in the urine
  • Bladder pain
  • Urgency of urination
  • Overactive bladder

How is a cystoscopy performed?

During a cystoscopy, your physician uses small, thin tube called a cystoscope that has a light and lens or small camera on the end. There are two types of cystoscopes:

  • Flexible cystoscopes are designed to pass through the urethra easily and may be more comfortable. Because the tip of the cystoscope is flexible, it allows for a complete evaluation of the bladder and urethra.
  • Rigid cystoscopes typically have additional channels or ports that allow for the placement of additional instruments into the bladder. This lets your physician perform other procedures during your cystoscopy, like injecting intradetrusor botulinum toxins and periurethral bulking agents.

Is a cystoscopy uncomfortable?

There may be some discomfort when the cystoscope is first placed, but it’s typically temporary. To help, anesthetic jelly (lidocaine jelly) is placed on the urethra before the procedure.

What are the risks?

Cystoscopy is a very low-risk procedure. But like with any procedure, there can be a few risks, which include:

  • Urinary tract infection
  • Bleeding
  • Injury to the bladder or urethra

What should I expect?

Before the procedure, you’ll provide a urine sample to ensure you do not have a urinary tract infection. Then, anesthetic jelly is applied to the urethra and given about 5 minutes to numb the area. Lastly, your provider will place the cystoscope and evaluate your bladder and urethra.

What should I expect at home?

We recommend drinking extra fluids for 24 hours after your procedure. Occasionally, patients may experience temporary burning when they urinate or have blood-tinged urine. Call your provider if these symptoms last more than 24 hours, as this could be a sign of an infection.

Will my insurance company cover the procedure?

Check your insurance plan benefits to see if your policy covers a cystoscopy. If it does, our office will help you get prior authorization if your insurance policy requires it. If you have further questions, contact your insurance carrier.