By Dr. David Samadi
When changes in your bladder habits persist or worsen, it’s crucial to consult a doctor for a thorough evaluation. Symptoms like blood in urine, incontinence, overactive bladder, or painful urination may necessitate a closer examination. In such cases, your doctor might recommend a cystoscopy to investigate and potentially treat underlying issues affecting your bladder and urethra.
What is a cystoscopy?
A cystoscopy, or cystourethroscopy, allows a doctor to examine the bladder and urethra’s lining in detail. It’s a valuable diagnostic tool for identifying bladder tumors, stones, cancer, blockages, and other abnormalities causing urinary problems or discomfort.
Why might someone need a cystoscopy?
The procedure can be recommended to diagnose, monitor, or treat various urinary conditions. Common reasons include:
- Frequent or painful urination.
- Blood in urine.
- Recurrent urinary tract infections.
- An overactive bladder.
- Pelvic pain.
- Suspicion of bladder cancer.
How is a cystoscopy performed?
Typically conducted on an outpatient basis, a cystoscopy involves inserting a cystoscope—a thin, illuminated tube—through the urethra into the bladder. Before the procedure begins, a local anesthetic gel or solution is applied to minimize discomfort.
During the procedure, the cystoscope allows the doctor to visually inspect the bladder’s interior by filling it with water or saline for a clearer view. This process might cause sensations like mild burning or the urge to urinate, but it generally lasts only 5 to 10 minutes.
Interpreting the results
A routine cystoscopy reveals a smooth bladder wall without obstructions, with the bladder maintaining its usual size, shape, and position. If abnormalities are detected, the doctor may take a tissue sample for further analysis, which could involve additional tests or biopsies.
Recovery after a cystoscopy
After the procedure, it’s normal to experience temporary discomfort, such as soreness in the urethra, a burning sensation during urination, or minor bleeding in the urine. These symptoms typically resolve within 24 hours.
Make sure to drink plenty of water to reduce these symptoms.
If a biopsy was taken, healing may take a bit longer, and it’s advisable to avoid strenuous activities, heavy lifting, or sexual intercourse until your doctor advises otherwise.
Understanding what a cystoscopy entails and its potential outcomes can alleviate concerns about this procedure. Always consult your healthcare provider to discuss specific symptoms or concerns regarding your urinary health.
Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board-certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy. Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.