What is Cystoscopy ?
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Cystoscopy is an investigation which enables the doctor to look inside the bladder and the urethra.
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A special viewing camera is inserted via the urethra and into the bladder. The bladder is slowly filled with sterile water. The doctor is then able to move the camera around the bladder and can see everything in the bladder including the lining.
The examination is more successful than other tests, like urine tests or ultrasound, in picking problems such as the following:
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- surgical materials (from previous surgery)
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The procedure can be done in the Outpatient Department or in the Operating Theatre, depending on your symptoms. Your doctor will recommend where you should have your test performed.
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If the procedure is performed in the Operating Theatre, with general anaesthetic, the doctor will be able to take a biopsy if necessary
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About the test
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- Regardless of where the test is done (Outpatients or Operating Theatre), it will take approximately 30 minutes.
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- If the procedure is done in Outpatients you will be given a local anaesthetic. In the Operating Theatre you will be given a general anaesthetic.
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- Your bladder will be emptied with a catheter and a urine sample will be collected for testing.
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- When the camera is inserted it can be uncomfortable; however, most women do tolerate it well.
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- There is a small risk of developing a urinary tract infection after the test. We advise you to drink extra fluid after the procedure, and consult your local doctor or the emergency department immediately, if any urinary symptoms persist
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- When the procedure is performed in the Outpatient Department you do not need to do anything to prepare. After the test the doctor will discuss the findings with you.
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- When the procedure is performed in the Operating Theatre a follow up appointment is often needed after the test, because you have had an anaesthetic
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Are there any risks?
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The risk of complications with this procedure is low, they include:
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- injury to the bladder or urethra
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- there are also risks involved with having a general anaesthetic if you are having your procedure in the Operating Theatre.
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If you would like more specific information about the level of risk speak to your doctor or anaesthetist who can provide you with more detailed information.
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After the test
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- Many people experience frequency and burning with urination just after the procedure. Increasing your fluid intake will help minimise this.
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- The urine may have a pink tinge (minor bleeding) which you should not be concerned about if it fades away. Increasing your fluid intake will help with this
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Please contact your local doctor or the emergency department at the Women's if you observe any heavy bleeding or clots in the urine or you:
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- cannot pass urine 6-8 hours after the test
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- develop a fever, or severe pain
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- have signs of infection (frequency, urgency, smelly/cloudy urine).
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Informed consent
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This Patient Information contains detailed information about a surgical procedure. Its purpose is to explain to you as openly and clearly as possible the procedures and risks involved before you decide whether or not to proceed.
Please read this information carefully. Feel free to ask questions about any information in the document. You may also wish to discuss the surgery with a relative or friend or your local health worker. Feel free to do this.
If you need more detailed information your doctor or nurse can recommend further reading.
Once you understand the surgical procedure and risks, and if you agree to proceed, you will be asked to sign the Consent Form (for procedures undertaken in the Operating Theatre). By signing the Consent Form, you indicate that you understand the information and that you give your consent.
You will be given a copy of the Patient Information to keep as a record.
Your surgeon will be happy to answer any questions you have, and can give you more specific advice.
If you experience any complications or are concerned that you may have an infection, please see your local doctor or you may attend Emergency at the Royal Women’s Hospital (03) 9344 2301 or your closest emergency department.
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Further information
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Royal Women's Hospital
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Urogynaecology Pelvic Floor Service
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Locked Bag 300
Grattan St & Flemington Rd
Parkville VIC 3052
Tel: (03) 8345 2000
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Disclaimer
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The Royal Women’s Hospital does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this fact sheet or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care provider or if you require urgent care you should go to the nearest Emergency Dept.
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Updated: Jan 2008
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