How To Prepare
Tell your doctor if you:
You will be asked to sign a consent form before the test.
Talk to your doctor about any concerns you have regarding the need for the
test, its risks, how it will be done, or what the results may mean. To help you
understand the importance of this test, fill out the
medical test information form(What is a PDF document?).
Cystoscopy can be performed with
local, spinal, or general anesthesia. Discuss with
your doctor which method is best for you and whether you should plan on staying
overnight in the hospital. If you will not be staying in the hospital, arrange
for someone to drive you home after the test.
Follow the instructions exactly
about when to stop eating and drinking, or your surgery may be canceled. If
your doctor has instructed you to take your medicines on the day of surgery,
please do so using only a sip of water.
You should empty your bladder just before the test. You
may be given medicine to prevent a urinary tract infection that could be caused
by the test.
How It Is Done
Cystoscopy is performed by a
urologist, with one or more assistants. The test is
done in a special testing room in a hospital or the doctor's office.
You will need to take off all or most of your clothes, and you will be
given a cloth or paper covering to use during the test.
hour before the test, you may be given a
sedative to help you relax. An intravenous (IV) needle may be placed in a vein in your arm to give
you other medicines and fluids. You will lie on your back on a special table
with your knees bent, legs apart, and your feet or thighs may be supported by
stirrups. Your genital area is cleaned with an antiseptic solution, and your
abdomen and thighs are covered with sterile cloths.
local anesthetic is used, the anesthetic solution or
jelly is inserted in your urethra.
general anesthetic is used, you will be put to sleep
either with a medicine given through an IV or by inhaling gases through a mask,
or both methods may be used.
spinal anesthetic is used, the area on the back where
the needle will be inserted is first numbed with a local anesthetic, then the
needle is guided into the spinal canal and the anesthetic is injected. A spinal
anesthetic may prevent movement of the legs until the anesthetic wears off.
After the anesthetic takes effect, a well-lubricated cystoscope
is inserted into your urethra and slowly advanced into your bladder. If your
urethra has a spot that is too narrow to allow the scope to pass, other smaller
instruments are inserted first to gradually enlarge the opening.