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Type of Surgery:  Flexible Cystoscopy

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 About the Surgery

Flexible Cystoscopy is a procedure that allows your urologist to look at the interior lining of your lower urinary tract (urethra and bladder) using a flexible fibreoptic scope called a cystoscope. A flexible cystoscope is as thick as a pencil and has light at the end.

 Aim of Surgery

Your urologist may recommend a flexible cystoscopy for any of the following conditions:

Frequent urinary tract infections

Blood in your urine (hematuria)

Loss of bladder control (incontinence) or overactive bladder

Unusual cells found in urine sample

Need for a bladder catheter

Painful urination, chronic pelvic pain, or interstitial cystitis

Urinary blockage such as prostate enlargement, stricture, or narrowing of the urinary tract

Removal of ureteric stents inserted prior for kidney stones

Unusual growth, polyp, tumor, or cancer

 How Long is Surgery

Less than 10 minutes

 Anaesthetic

You are awake during the procedure

Local anaesthesia: Anaesthetic Gel is applied through the opening of the penis which makes your urethra numb

 Incision/Cut

No incision required. The procedure is performed through the opening of the penis

 Description of Surgery

You will be asked to lay down and to relax whilst the urologist passes the cystoscope into the bladder. You may be asked to cough or to try to pass urine whilst your urologist passes the scope through the muscle sphincter. This is to help the telescope pass the external sphincter. If the sphincter is not relaxed this may be slightly uncomfortable.

The urethra and bladder are examined through the scope whilst filling the bladder with water

The procedure takes only a few minutes and your urologist will be able to give you the general results immediately.

 Complications of Surgery

Flexible cystoscopy is a relatively minor procedure. Complications are very uncommon.

You may feel some discomfort

You may feel some stinging after the procedure

You may have slightly blood stained urine after the procedure

Urinary Infection (rare)

If you have a prosthesis (eg: Hip replacement, heart valves), you need to tell the doctor - as a precaution, your urologist may give you some antibiotics to prevent an infection spreading to your prosthesis

 Duration of Hospital Stay

Home the same day

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