Cystoscopy is a medical procedure involving the insertion of a cystoscope, a hollow tube with a camera, into the urinary bladder via the urethra to visualise, diagnose, and treat bladder and urethral problems. Usually, a urologist or a urinary tract specialist performs a cystoscopy.
How is Cystoscopy performed: Before, During and After.
The procedure is typically preceded by a urinalysis test as an additional diagnostic step. Before surgery, the doctor applies a numbing gel or administers anaesthesia so that the patient does not feel any discomfort or pain. During surgery, the doctor lubricates the cystoscope and inserts it into the bladder through the urethra. Saline is injected through the cystoscope to fill the bladder. A stretched bladder makes it easier to visualise the bladder wall. For diagnosis, a camera or a lens is sufficient. Additional equipment is inserted through the cystoscope to acquire tissue samples or remove bladder stones. The hollow cystoscope enables the delivery of equipment and treatment drugs to the affected area.
After surgery, the doctor either drains the saline or asks the patient to relieve himself in the restroom. He may feel pain during urination or in the stomach for a day or two after the procedure.
Cost Of Cystoscopy
Description
Cost
 Average cost of performing cystoscopy in India
  Rs. 47,500
Average cost of performing cystoscopy in Hyderabad
 Rs 45,000
Description
Cost
Days of hospitalisation
 None. The patient can go home after the  procedure.
Type of surgery
 Minor, minimally invasive.
Anaesthesia type
 Usually, local anaesthesia is administered for diagnostic cystoscopy. General anaesthesia may be needed for a biopsy or treatment.
Recovery
 One day. The patient may feel slight pain during urination for a day or two after the procedure.
Duration of the procedure
 15 to 20 minutes, usually.
Risks and Complications associated with Cystoscopy
Cystoscopy has a relatively low risk compared to other medical procedures. The risk factors include bladder or urinary tract infections, bladder perforation, urine leakage, and urethral scarring or narrowing. Both complications and the cost of the procedure are relatively low.
Who needs a Cystoscopy?
One might need a cystoscopy if he is suffering from urinary tract infections, a stone in the urinary tract, bladder control issues, overactive bladder, or an unusual growth (cancer), experience blood or other unusual cell types in urine, painful urination, chronic pelvic pain, urinary blockage due to, for example, prostate enlargement, narrowing of the urinary tract, or interstitial cystitis, or need a bladder catheter. Get a free second opinion!
Frequently Asked Questions about Cystoscopy Surgery
Usually, a numbing gel is used to desensitise the urethral opening. However,the patient will be administered general anaesthesia so that he does not feel any discomfort or pain. General anaesthesia is more common in males.
Doctors use cystoscopy to check the causes of blood in urine, urine leakage, painful urination, frequent urinary tract infections, diagnose bladder cancer, stones, and inflammation, diagnose an enlarged prostate, and treat these conditions by removing stones and tumours or sampling tissues for further analysis.
Cystoscopy is associated with a relatively low risk of bladder perforation or tear due to the cystoscope. However, the damage is not permanent and can be cured.
UTI occurs in 10% (at the maximum) of the patients who are subjected to cystoscopy. A study showed that the rate of UTI was 2.2% in patients who did not receive antibiotic treatment and 2.5% in patients who received antibiotic treatment.
Studies have shown that although a small percentage of patients develop UTI, no patients were observed to develop sepsis.
Yes, antibiotics need to be administered before cystoscopy to prevent urinary tract infection. Usually, the antibiotic treatment includes either fluoroquinolone or trimethoprim-sulfamethoxazole. An aminoglycoside (sometimes, with ampicillin), a cephalosporin, or amoxicillin-clavulanate needs to be administered as an alternative.
Cystoscopy pertains to the evaluation of the bladder and urethra. A ureteroscopy is performed to evaluate the ureters (tubes that carry urine from the kidneys to the bladder). A ureteroscopy helps in visualising the lining of the kidneys.
Yes, you can eat and drink before a cystoscopy. You may be asked to empty your bladder before the procedure.
Yashoda Hospitals provides quality healthcare for people with diverse medical needs. You can get in touch with us to book an appointment for the procedure, get a free second opinion, or get a free cost estimation.
Disclaimer: The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.
