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Instruments and devices for endoscopy
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Cystoscopy

Cystoscopy

Special endoscopic instruments for cystoscopy, urethrocystoscopy, (cystoscopy) and hysteroscopy (uterine endoscopy)

A cystoscopy is a medical procedure performed through a thin, flexible tube that enters the bladder and is used to examine the interior of the urinary tract. The procedure can be performed under local or general anesthesia. You will be asked to empty your bladder. You will be positioned on a table with your knees bent and your feet in stirrups. During the procedure, you will be given a sedative or a general anesthetic. In some cases, you may be asked to remain in the recovery area for a short period of time.

After the procedure, the doctor will remove the cystoscope and carefully remove it. You may be required to stay overnight in the recovery room if the procedure was performed under sedation. However, most patients do not require this stay. Once the procedure is completed, you can resume your normal activities and diet. The recovery time after a cystoscopy will depend on the type of sedation and the type of anesthesia used.

Before undergoing a cystoscopy, you should ensure that you are free of any urinary tract infection. The healthcare provider will examine your urine for infection before performing the procedure. Some symptoms of infection include pain when passing urine, frequent urination, fever, or dark, cloudy, or reddish urine. In some cases, you may need a different sedative to prevent side effects.

Once the procedure is complete, you will be given antibiotics if necessary. The medication you take will be given only after your physician has performed the cystoscopy. A doctor may also order a urine C and S test to identify bacterial and fungal cultures and anti-infective medication sensitivities. You may receive antibiotics for a few days or a few weeks.

The purpose of cystoscopy is to diagnose and treat various bladder diseases. One of the most common reasons for referral to a urologist is hematuria. Blood in the urine can be either microscopic or gross. It is best to have a cystoscopy at least once per year. A patient who has chronic hematuria or a history of prostate cancer may need a cystoscopy every few years.

During a cystoscopy, a rigid, thin tube called a cystoscope is inserted into the urethra. Afterward, the bladder is filled with sterile salt water, and the X-ray of the inside is used to see the condition. A catheter is often inserted to visualize the urethra and to detect tumors.

Before a cystoscopy, a patient is required to remove all clothing, jewelry, and other objects that could interfere with the procedure. A general anesthetic can cause grogginess, so the patient should make arrangements to take a taxi home after the procedure. A local anesthetic, or in-office sedative, may be administered.

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