Is Cystoscopy Done Under Anaesthesia?

Cystoscopy may be performed using local, general, or spinal anaesthesia, depending on the type of procedure and whether additional treatment is required. Flexible cystoscopy is commonly performed with local anaesthetic gel, while rigid cystoscopy often requires general or spinal anaesthesia.

The anaesthesia used for cystoscopy depends on the patient's condition, the purpose of the examination, and the planned procedure.

Local anaesthesia:

• Commonly used for flexible cystoscopy.

• Anaesthetic gel is applied to the urethra.

• Helps reduce discomfort during insertion of the cystoscope.

• Patients generally remain awake during the examination.

General anaesthesia:

• The patient is unconscious during the procedure.

• May be used for rigid cystoscopy or when more extensive treatment is planned.

• Requires specific preparation and recovery instructions.

Spinal anaesthesia:

• Temporarily numbs the lower part of the body.

• May be used for rigid cystoscopy and certain bladder procedures.

• The anaesthesia team assesses whether it is appropriate for the patient.

Not every patient needs general or spinal anaesthesia. The choice is based on the type of cystoscopy, expected discomfort, medical history, and whether procedures such as a biopsy or stone removal are planned.

SCI International Hospital

At SCI International Hospital, Dr. Gautam Banga evaluates the patient's condition and the purpose of cystoscopy before determining the appropriate procedural approach