Cystoscopy is a procedure that enables your health care provider to view the inside of your bladder and urethra in great detail using a specialized endoscope (a tube with a small camera used to perform tests and surgeries) called a cystoscope.

There are 2 types of cystoscopes, the standard rigid cystoscope and the flexible cystoscope. The method for insertion of the cystoscope varies, but the test is the same. The choice of which scope to use depends on the purpose of the exam.

If the standard rigid cystoscope is used, you lie in the lithotomy position (on your back with your knees up and apart). The flexible cystoscope may be easier to insert than the standard rigid model. It does not require the lithotomy position for insertion.

The procedure usually takes between 5 and 20 minutes. The urethra is cleansed and a local anesthetic is applied. The scope is then inserted through the urethra into the bladder.

Water or saline is inserted through the cystoscope and fills the bladder. As this occurs, you are asked to describe the feeling to your provider, which provides information about your condition.

As the fluid fills the bladder, it stretches the bladder wall, enabling the physician to view the entire bladder wall. You will feel the need to urinate when the bladder is full. However, it must remain full until the examination is complete.

If any tissue appears abnormal, a small specimen can be taken (biopsy) through the cystoscope to be analyzed.

You must sign an informed consent. You will wear a hospital gown during the procedure. You should make arrangements for travel home from the hospital.

Infants and children:

The preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics:

• Infant test or procedure preparation (birth to 1 year)
• Toddler test or procedure preparation (1 to 3 years)
• Preschooler test or procedure preparation (3 to 6 years)
• Schoolage test or procedure preparation (6 to 12 years)
• Adolescent test or procedure preparation (12 to 18 years)

You may feel slight discomfort as the cystoscope is passed through the urethra into the bladder. You will feel an uncomfortable, strong need to urinate when the fluid has filled the bladder.

You may feel a pinch if a biopsy is taken. After the cystoscope is removed, the urethra may be sore and you may feel a burning sensation during urination for a day or two.

• Diagnose and evaluate urinary tract disorders
• Check for cancer of the bladder or urethra
• Diagnose an enlarged prostate (men)
• Help determine the cause of pain during urination
• Diagnose recurrent bladder infections