Cystoscopy – Surgery, Treatment and Procedure

What is cystoscopy?

The Cystoscopy procedure allows for the examination of the lining of the bladder as well as the urethra, which is a tube that carries the urine out of your body. A cystoscope is a probe light and a camera at the end. This probe is inserted through the urethra into bladder so that an investigation of the bladder can be performed. Magnified images are formed on a screen with the help of the camera. Cystoscopy can be performed in a testing room by making use of local anaesthetic in order to numb urethra. It may also be performed in a hospital under the influence of general anaesthesia.

Why do you need a cystoscopy?

The procedure is performed in order to diagnose, monitor the progress of as well as treat any medical condition that may be affecting the bladder or the urethra. It may be recommended in the following scenarios:

• In order to diagnose bladder conditions and diseases: conditions that can be diagnosed include bladder stones, bladder inflammation, bladder cancer etc.

• In order to diagnose an enlarged prostate: benign prostatic hyperplasia or an enlarged prostate can be diagnosed by observing the narrowing of the urethra at the spot where it passes through the prostate gland.

• In order to investigate the causes of the signs and symptoms observed: Symptoms such as incontinence, painful urination, blood in the urine and an overactive bladder can be investigated with the help of cystoscopy.

• For the treatment of bladder diseases and conditions: Tools and medicines can be passed through the cystoscope in order to treat certain conditions.

• Cystoscope may also be ordered if you suffer from the following:

• Pelvic pain

• Frequent urinary tract infections

• An overactive bladder

• Blood in the urine

• Enlarged prostate gland

How to prepare for a cystoscopy?

• A urine sample may be required to be tested by your doctor before the procedure.

• In case you have a weak immune system or are suffering from a Urinary Tract Infection, your doctor may prescribe you certain antibiotic medications to be consumed before and after the completion of the procedure.

• Arrange for a ride back home post your procedure, in case your doctor plans to perform the procedure under general anesthesia.

• In case you are taking any medications, make sure you confirm with your doctor regarding the same as certain medications can cause excessive bleeding during cystoscopy.

• Plan in advance for a break from work as you might need some time to recover from the procedure.


At Apollo Spectra, we ensure that our patients are aware about everything the procedure that they have opted for. The procedure to be followed during a cystoscopy includes the following:

• Visit the bathroom and empty your bladder immediately prior to the commencement of the procedure.

• Don the surgical gown provided to you by the hospital and lie down on your back, with your feet in the stirrups.

• Once you are calm and ready, you will be administered an anesthesia – either local or general – as well as a sedative in order to numb your urethra.

• Next, the doctor will lubricate a scope and then carefully insert it into the urethra. As the scope enters your bladder, your doctor will observe it through a lens to diagnose the problem.

A cystoscopy generally last for 15 to 30 minutes, post which you may be allowed to go home.


The result of a cystoscopy can take anything from a day to a week to be obtained. Generally, if you have had a biopsy, it can take some time for the lab results. Your doctor is the best person to ask about this.

Potential risks of a cystoscopy

There are a couple of risks involved in the procedure of cystoscopy, which include the following:

• Infection: Infection is a rare risk which may occur due to the entry of germs in your urinary tract.

• Bleeding: Call your doctor immediately if you notice any bleeding.

• Swollen urethra: A swollen urethra is the most common side effect observed. In case, this does not subside within 8 hours, call your doctor immediately.

Certain other complications may also arise. These include:

• Persistent stomach ache

• Clots of tissue in the urine

• A fever higher than 104 degree Fahrenheit

• Red blood cells in your urine


Although Cystoscopy is a fairly simple procedure, following some tips for total recovery can help you recover faster. These include the following:

• Ask your doctor for pain relief medications such as Advil or Tylenol

• Hold a warm and damp washcloth over your urethra in order to get some relief from the pain.

• Give yourself enough time to rest.

The post operative care to be taken post the cystoscopy procedure, is different for men and women.

For men, it includes the following:

Since you are more likely to have an enlarged prostate if you are undergoing the cystoscopy procedure, a little discomfort or pain in the prostate is expected post the surgery. In case the pain is excessive, you are advised to consult your doctor on the same, who may prescribe pain killing medications.

For women, after effects of the surgery are as follows:

If you are in the menstrual age and have undergone a cystoscopy procedure, you may be expected to experience some pain during your next menstrual bleeding cycle. This is nothing major and can be treated with over the counter medications, if the pain gets in the way of your day to day activities.

At Apollo Spectra, we understand the value of your time, that is why we make sure that you receive the best treatment and post-surgery care, for you to be able to get back up on your feet as soon as possible. Urologists at Apollo Spectra are individuals who specialize in this area of treatments and are the best at what they do. Your doctor will team up with other specialists and come up with a treatment plan which is tailored to suit your needs and goals.

We understand that a patient needs care after any treatment or procedure that they undergo. We aim to provide them with the best care, post their surgery. Our latest technology and advanced equipment help achieve accurate results and successful procedures being performed.


How painful is a cystoscopy?

A cystoscopy does not generally hurt. You are advised to inform your healthcare professional in case you experience any pain while undergoing the procedure. The procedure may be a little comfortable at times, and you may also feel the need to pee during the procedure, but it is not supposed to be painful at any time.

Is cystoscopy considered a surgical procedure?

A cystoscopy is technically considered a surgical procedure, majorly owing to the fact that a urologist or a urologic surgeon performs the procedure.

Can interstitial cystitis be detected through a cystoscopy?

Although interstitial cystitis is usually diagnosed through the exclusion of other symptoms, a cystoscopy may be performed under anesthesia, along with hydrodistention, in case an interstitial diagnosis is under doubt and an additional test is necessary.

Is a cystoscopy suitable for both men and women?

Yes, a cystoscopy is suitable to be performed on both men and women, although there exists a procedure known as cystosure, which is designed specifically for female patients owing to its clinical advantages and several design elements.