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Cystoscopy is a minimally-invasive diagnostic procedure that uses a special instrument called a cystoscope to look inside the bladder and the urethra, the tube that carries urine from the bladder out of the body. The cystoscope is a long, flexible instrument with a small light on one end and an eyepiece on the other end which allows the doctor to evaluate the lining and structure of the bladder and urethra for diagnosis and management of several medical conditions.
Cystoscopy is used to:
The procedure can be done in the office with local anesthesia only if needed. Sedation can be used to help patients relax and stay comfortable throughout the procedure. The cystoscope is inserted through the urethral opening and slowly advanced through the urethra to the bladder. In addition to the viewing lens, a camera can be used to capture video and still images for further evaluation. Images can be transmitted to a viewing monitor for real-time evaluation as well. Once the scope has reached the bladder, a sterile solution is pumped into the bladder to make it easier to view the entire lining. Tiny tissue samples (biopsies) may be taken for examination under a microscope. Most cystoscopy procedures take about 15 to 20 minutes to perform, and patients can return home afterward.
Cystoscopy can cause some residual soreness which can be relieved with warm compresses and by drinking plenty of fluids. Discomfort typically resolves within a day or two once any mild irritation has resolved. If sedation is used, patients may experience drowsiness and need a friend or loved one to drive them home after the procedure.
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"Even when his office is busy, he and his very friendly staff are attentive to your needs. He values your input and questions."
"He is really great! I had something rare going on and he found it immediately, despite the past 3 doctors not diagnosing me correctly."
"Great bedside manner. Makes one feel very comfortable and at ease. I think he is a great diagnostician and would see him again, in a heart beat! "