How Is Cystoscopy Performed?

During a cystoscopy, a urologist gently passes a thin cystoscope through the urethra into the bladder. The instrument has a camera and light that allow the doctor to examine the urethra and bladder. The procedure and anaesthesia used depend on whether it is a flexible or rigid cystoscopy.

Before the procedure, the patient may be asked to provide a urine sample to check for infection. The type of anaesthesia depends on the type of cystoscopy being performed.

Flexible cystoscopy generally involves:

• Using local anaesthetic gel to numb and lubricate the urethra
• Gently passing the flexible cystoscope through the urethra into the bladder
• Filling the bladder with sterile saline so the bladder lining can be examined clearly
• Viewing the urethra and bladder through the camera
• Taking a small tissue sample if a biopsy is required

A flexible cystoscopy is commonly completed within about 10–15 minutes, although the overall appointment may take longer.

Rigid cystoscopy uses a straight instrument and may be performed under general or spinal anaesthesia. It can allow the urologist to perform additional procedures, such as taking a biopsy or treating certain abnormalities.

The exact steps may vary depending on the reason for cystoscopy and whether any additional treatment is planned.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga determines the appropriate type of cystoscopy based on the patient's symptoms, investigations, and treatment requirements. The procedure and anaesthesia options are explained before the cystoscopy so the patient understands what to expect.