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CYSTOSCOPY 

A cystoscopy is a medical procedure used to examine the bladder, urethra, and in some cases, the openings to the ureters (the tubes connecting the kidneys to the bladder). It's commonly performed by urologists to diagnose and treat conditions affecting the urinary tract.

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Here's an in-depth look at what happens during a cystoscopy:

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Purpose:

  • Diagnostic Tool: It helps identify issues causing urinary symptoms like blood in the urine, frequent urination, urinary tract infections, or unusual growths.

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  • Treatment: Cystoscopy can also be used to perform certain procedures like removing bladder stones, taking tissue samples (biopsy), or treating small tumors.

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Types of Cystoscopy:

  • Flexible Cystoscopy: Uses a flexible, thinner scope for examining the urinary tract. Typically performed in the doctor's office.

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  • Rigid Cystoscopy: Involves a rigid scope for more detailed examinations or procedures. Usually conducted in a hospital or surgical center under anesthesia.

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Procedure Steps:

  1. Preparation: You may be asked to empty your bladder before the procedure. Anesthesia might be administered depending on the type of cystoscopy.
     

  2. Insertion of Scope: The scope is inserted through the urethra and advanced into the bladder. This may cause some discomfort or a sensation of needing to urinate.
     

  3. Visual Examination: As the scope progresses, the doctor examines the bladder walls, urethra, and ureteral openings. Fluid might be instilled to expand the bladder for better visualization.
     

  4. Treatment/Intervention: If any issues are identified during the examination, the doctor may take biopsies, remove small growths, or perform other necessary procedures.
     

  5. Completion and Recovery: Once the examination or necessary procedures are done, the scope is removed. Recovery time is generally quick for flexible cystoscopies, while rigid cystoscopies may require a bit more recovery due to anesthesia.
     

Aftercare:

  • Post-Procedure Discomfort: Some patients may experience mild burning during urination or minor bleeding, which typically resolves within a day or two.

  • Resuming Activities: Most people can resume normal activities shortly after the procedure, though strenuous activities might be advised against for a few days.

  • Follow-up: Results from any biopsies or procedures will be discussed in a follow-up appointment.
     

Risks and Considerations:

  • Bleeding: Minor bleeding during or after the procedure is common but should subside.

  • Infection: There's a small risk of developing a urinary tract infection post-cystoscopy.

  • Perforation: Very rare, but there's a slight risk of damage to the urinary tract.
     

Cystoscopy is generally considered a safe and effective procedure for diagnosing and treating various urinary tract conditions. However, like any medical procedure, it's essential to discuss potential risks and benefits with your healthcare provider before undergoing it.

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