Flexible Cystoscopy

Flexible Cystoscopy

This procedure is carried out for patients with blood in their urine (haematuria), recurrent urinary tract infections, detect the cause of bothersome symptoms, remove stones or a ureteric stent, and for detection of recurrence of bladder tumours. It is generally a diagnostic procedure. If an abnormality is found, further treatment may be recommended under a general anaesthetic.

Mr Keeley will discuss with you the details of the procedure and any risks. You will be asked to sign a consent form.

Flexible cystoscopy is typically carried out under local anaesthesia. Mr Keeley will talk you through the procedure, which should not be painful. During the procedure anaesthetic jelly is put into the urethra. The telescope is inserted through the urethra into the bladder. You may feel your bladder filling up as saline is used through the telescope to allow for good visualisation of the bladder. If you have had a ureteric stent placed previously, this is removed with a pair of forceps through the cystoscope.

After the procedure, you will be asked to pass water. You are expected to go home soon afterwards and can drive yourself, provided you are feeling well.

Some people experience painful urination and blood in your urine after the procedure, but this typically settles after a few hours. You will be encouraged to drink plenty of fluid to try to avoid a urinary tract infection.

For further information, click here to download leaflets produced by the British Association of Urological Surgeons (BAUS).