Cystoscopy - Cystoscopy

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Cystoscopy - Cystoscopy
Cystoscopy - Cystoscopy
Video: Cystoscopy - Cystoscopy
Video: Cystoscopy 2023, February

Urethrocystoscopy (cystoscopy)

Urethrocystoscopy is an examination of the inside of the bladder and urethra using a cystoscope. This consists of a thin metal tube with a light source and camera optics at the end. Alternatively, flexible, thinner plastic endoscopes are used, the tip of which can be moved. With this examination method, pathological changes in the bladder, urethra and prostate can be detected and sometimes treated at the same time…


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  • How is the examination performed?
  • What are the side effects / complications?
  • Where is a urethrocystoscopy done?
  • How are the costs going to be covered?

How is the examination performed?

The cystoscopy is usually carried out in the ordination of a resident urologist, but it can also be carried out on an outpatient or inpatient basis in special cases. The examination is carried out lying down and only takes a few minutes. Most adults do not need anesthesia, while small children may need anesthesia.

First the urethral orifice is disinfected, then a mixture of lubricant and pain reliever is injected into the urethra using a syringe. The cystoscope is then carefully advanced through the urethra into the bladder. This is the most uncomfortable part of the exam, especially for men because their urethra is longer and curved. The urinary bladder is then filled with fluid so that the mucous membrane can develop properly and be assessed precisely.

Sometimes a photosensitizer is placed in the bladder about an hour before the examination for special questions such as cancer diagnostics. When exposed to blue light, this substance glows red. Since it is particularly absorbed by cancer cells, flat tumors of the bladder can also be detected. This method is called photodynamic diagnostics (PDD).

What are the side effects / complications?

Urethrocystoscopy is a low-risk, routine procedure. The following side effects and complications can still occur:

  • Mild pain mainly occurs when inserting the cystoscope through the urethra. Although these can be alleviated by previously administered painkillers, the examination is completely painless, but only possible under anesthesia. Due to irritation of the mucous membrane of the bladder and urethra, slight pain can persist even after the examination.
  • Minor bleeding is possible due to slight damage to the mucous membrane or after a sample has been taken, but usually does not require further treatment.
  • In extremely rare cases, severe injuries from the cystospcope, including perforation of the bladder or urethral wall, occur. These may require surgery.
  • Inflammation of the lower urinary tract occurs extremely rarely, which may require treatment with antibiotics.

Note After the examination, you should drink as much as possible in order to quickly dilute and excrete the urine that has been mixed with contrast medium. In this way, the spread of germs and thus infection can be prevented!

Where is a urethrocystoscopy done?

Urethrocystoscopy can be performed by a urologist or in a hospital with a urology department. A bank transfer is required.

  • You can find specialists in urology in your area under Services: Doctor search
  • You can find hospitals (with urological departments) in your area under the search for a clinic

How are the costs going to be covered?

You will need a doctor's referral for a urethrocystoscopy. This is valid for one month from the date of issue. The costs of a urethrocystoscopy are covered by your health insurance company.

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