Urology

Flexible Cystoscopy (Male) Treatment

Flexible Cystoscopy Male

A flexible cystoscopy is a surgical procedure used for checking for any problems in the patient’s bladder by the use of a flexible telescope. A cystoscopy is required by the patients, when the patients are having pain, blood in their urine, or having an irritable bladder (a sudden and uncontrolled need to pass the urine), or repeated infections.

What is Cystoscopy?

A cystoscopy is a surgery for looking inside the bladder by the use of a thin camera known as a cystoscope. A cystoscope is being inserted into the urethra (the urethra is the tube that carries urine out of the body) and it is then passed into the bladder for allowing the doctor or nurse to view the inside. Small surgical instruments can also be passed down the cystoscope for treating some bladder problems at the same time as the surgery is taking place.

What is Flexible Cystoscopy?

A flexible cystoscopy is a surgical procedure used for checking for any problems in the patient’s bladder by the use of a flexible telescope (cystoscope). A cystoscopy is required by the patients, when the patients are having pain, blood in their urine, or having an irritable bladder (a sudden and uncontrolled need to pass the urine), or repeated infections.

What does Flexible cystoscopy involve?

A flexible cystoscopy generally takes about five minutes or so. The patient’s doctor will pass the cystoscope into the patient’s urethra. The doctors will pass the fluid into the patient’s bladder through the cystoscope, which will help them make the diagnosis. The patient’s doctor will be using the cystoscope for looking for any problems which may be present in the lining of the patient’s bladder. If the doctor’s find a small growth or stone, there is a possibility that these problems can be removed with the help of cystoscope.

Why Flexible cystoscopy is required by an individual?Page Image

A Flexible cystoscopy for the male can be used for looking and treating problems in the patient’s urethra or bladder.

For example, Flexible cystoscopy can be used for:

  • Checking the root cause of the problems such as frequent urinary tract infections (UTIs), problems peeing, long-lasting pelvic pain, and blood in pee,
  • Removing the sample of tissue for checking for any problems such as bladder cancer, the tests are being done in the laboratory.
  • Carrying out the treatments, such as removal of the bladder stones, removing or inserting a stent (a small tube used for treating the blockages), and injection of the medication into the patient’s bladder.

What are the risks of a general anesthetic?

Straight after the surgery, the patients may feel dizzy, weak, or tired. The patients must have someone to collect them and stay with them for the first 24 hours after the surgery.

During the first 24 hours after the surgery the patients should not:

  • Operating or driving any motorized vehicle or electrical equipment
  • Signing any legal documents or making any important decisions
  • Drinking alcohol.

The patients may feel dizzy or weak at times during the first seven to ten days. If this occurs, the patients must sit down until the feeling passes. The patients may also have the ‘post-operative blues’ and feel a little depressed after the surgery. If any of these symptoms do not go away as the time progress, the patients must contact their GP for advice and help.

Specific Complication due to Flexible Cystoscopy:

Bruising and swelling: The patients may have some swelling and bruising around their urethra from the cystoscope being placed. This swelling and bruising will be cleared up after a few days. If this swelling and bruising do not clear, the patients should contact the doctors or their GP. The patients may temporarily require a catheter placed in their ladder, this will help in draining the urine until the swelling and bruising go down.

Damage to the bladder: There is also a possibility that the bladder may damage or tear due to cystoscope or when taking a biopsy. This can result in infection and bleeding, which may need further surgery or may require temporary placement of a catheter.

Bleeding: The patients may have a small amount of bleeding due to the cystoscope being passed up the urethra or due to any biopsies taken. Some of the patients do not have any bleeding at all but some of the patients find their urine to become slightly pink for a few days after the procedure. The patients must drink plenty of water which will help in clearing the urine. If the patient’s urine remains pink even after the few days, the patients must please contact their GP.

Infection: There is always a risk that the patients may develop a urine infection after their cystoscopy, which could cause fever and result in pain when the patients urinate. Drinking a lot of water after the procedure can reduce these problems.

How soon will the patients recover?

  • The patients should be able to go home the same day as the surgery is performed, but only after the patients have recovered from the anesthetic and the urine have been passed.
  • The patients should be able to return to their work the day after the cystoscopy unless they have been told otherwise.
  • Regular exercise should help the patients to return to their normal activities as fast as possible. Before the patients start exercising, they must ask their healthcare team or their GP for advice.
  • The healthcare team will tell the patients what was found during the cystoscopy and the treatments and all the follow-up required by the patients will be discussed by the healthcare team.

Are there any alternatives to a flexible cystoscopy?

A scan may be performed, which will provide useful information about the cause of the problem. There is a possibility that a flexible cystoscopy may require only an anesthetic jelly. However, some of the specific problems with the urinary tubes and bladder and urinary tubes cannot be treated with the help of rigid cystoscopy. A flexible cystoscopy is usually an effective and safe way of finding out any problem if there is any problem with their bladder.

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