Flexible Cystoscopy Urethra Prostate Bladder
Cystoscope
What is Cystoscopy? A cystoscopy is a procedure to check for any problems in your bladder using a fibre-optic telescope (cystoscope). This will enable your doctor to visually examine the interior of your bladder. Cystoscopy allows your doctor to look at areas of your bladder and urethra that is usually not well presented on X-rays. When do you need this procedure? • Presence of blood in the urine • Painful urination • Urinary incontinence • Inability to pass urine • Urinary frequency or overwhelming need to pass urine • Obtain tissue sample for investigation • Remove foreign objects
Inform your doctor if you: • Have any drug allergies • Have bleeding tendencies or taking blood thinning medication such as Warfarin, Aspirin and Plavix This procedure is usually done under local anesthesia. You may eat or drink normally before the test unless instructed otherwise. How is the procedure done? A urologist performs the cystoscopy. You will be asked to change into a gown. You will be asked to lie on an examination couch where your doctor will examine your bladder through your urethra. An anaesthetic jelly will be applied into your urethra for comfort. After the anaesthetic takes effect, a well-lubricated cystoscope is inserted into your urethra and slowly advanced into your bladder. As the cystoscope is inside your bladder, sterile saline is infused to expand your bladder to create a clear view. Your doctor will inform you if a biopsy specimen is required.
The procedure will take up to 10 minutes to be completed. How will you feel during the procedure? • Urge to urinate • Bladder fullness due to sterile solution infusion You can try to relax during the scope by taking slow, deep breathes. Risks • Bleeding, if a tissue sample is taken • Urinary tract infection After the test You may experience some burning sensation during and after urination for up to 6 hours. Do drink lots of fluid to minimise this burning sensation and to prevent a urinary tract infection. A pinkish tinge in the urine is also common for several days after the cystoscopy particularly if a biopsy was performed. When to seek medical attention: • Your urine remains red or you see blood clots after you have urinated several times • Unable to pass urine after the test • Have chills or fever of more than 38 degree Celsius
• Symptoms of urinary tract infection include: - Pain or burning upon urination - An urge to urinate frequently but pass only small amount of urine - Dribbling or leakage of urine - Urine that is red or pinkish, foul smelling or cloudy - Pain or a feeling of heaviness in the lower abdomen Medical advice • Please contact our Customer Contact Centre at 6555 8828 for an urgent appointment to return to the Urology Clinic during office hours. • For any emergency after working hours, please proceed to KTPH’s Emergency Department. Your Appointment
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Date: _____________________ Time: _____________________ Venue: Urology Clinic (C44)
Yishun Health is a network of medical institutions and health facilities of the National Healthcare Group. Admiralty Medical Centre • (65) 6807 8000 • www.admiraltymedicalcentre.com.sg Khoo Teck Puat Hospital • (65) 6555 8000 • www.ktph.com.sg Yishun Community Hospital • (65) 6807 8800 • www.yishuncommunityhospital.com.sg The information is correct at the time of printing and subject to revision without further notice.
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