Principles of the procedure
This is an established diagnostic examination and treatment of suspected interstitial cystitis, an inflammatory condition of the bladder characterised by bladder pain and urinary urgency. A cystoscopy is performed to assess the inside of the bladder under general anaesthesia. The bladder is then gently distended with fluid, with assessment for particular bladder changes and physiological changes.
Pre-Operative Preparation
You will be admitted on the day of the procedure in hospital. Usually, a recent urine sample will be obtained prior to the procedure to exclude any infection. As this procedure is performed under a general anaesthetic, you will need to be fasted 6 hours prior to the procedure. Generally you should continue taking all of your usual medications. Your urologist will inform you whether you need to adjust any anticoagulant (blood thinning) medications prior to the cystoscopy.
Expected Post-Operative Recovery
Generally you will be able to go home on the same day as the procedure. Some blood staining of the urine and stinging when voiding can occur temporarily, though this almost always settles by keeping your oral intake of fluids up. You are unlikely to see any immediate relief of bladder pain after the procedure, this can take up to about 4 weeks to take effect (if it does).
Risks - as per your discussion with your Urologist
Dysuria and bladder irritation
Bleeding
Infection
Temporary catheter (in unexpected findings)
Bladder or urethral injury
Anaesthetic risks