Principles of the Procedure
This procedure is performed to visually inspect the inside of the bladder. It can be performed under general anaesthetic in hospital, or under local anaesthetic (flexible cystoscopy) in the urologist’s rooms.
You will be admitted on the day of the procedure in hospital, or seen in your urologist’s rooms. Usually, a recent urine sample will be obtained prior to the procedure to exclude any infection. In the case of a cystoscopy performed under 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 or walk out of the rooms after a flexible cystoscopy. Occasionally, if an unexpected lesion is found your urologist may need to biopsy or remove this during your cystoscopy. This may result in an overnight stay and a temporary urinary catheter.
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.
Risks - as per your discussion with your Urologist
Dysuria and bladder irritation
Temporary catheter (in unexpected findings)
Bladder or urethral injury