Urology

Rigid Cystoscopy (Female) Treatment

Rigid Cystoscopy Female

A rigid cystoscopy is a surgical procedure, used for checking for any problems in the patient’s bladder by the use of a rigid fiber-optic telescope. Sometimes a few problems with the bladder along with the urinary tubes can be processed at the same time.

What is a rigid cystoscopy?

A rigid cystoscopy is a surgical procedure, used for checking for any problems in the patient’s bladder by the use of a rigid fiber-optic telescope (called a cystoscope). Sometimes a few problems with the bladder along with the urinary tubes can be processed at the same time. It may be advised if the patients are getting blood in their urine, repeated infections or have an irritable bladder (a sudden and uncontrolled need for the passage of the urine).

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.

Why do the Patients require this surgery?

There are various reasons why a patient may require a rigid cystoscopy:Page Image

  • The surgery may be required to investigate the passage of the blood in the urine (known as haematuria)
  • The procedure may also be required to investigate the reason behind the urinary tract infections
  • Rigid Cystoscopy may also be required for evaluating bladder capacity
  • It may also help in investigating the bladder pain

What is the duration of the Rigid Cystoscopy?

A rigid cystoscopy without any requirement of additional procedures takes about only an hour including the time taken to put the patients to sleep and to wake them up.

What is the procedure for the Rigid Cystoscopy?

The procedure is usually performed under a spinal or general anesthetic. The surgery generally takes less than thirty minutes. The doctor will pass the cystoscope into the patient’s urethra. The doctors will pass the fluid through the cystoscope and into the patient’s bladder for helping them to make the diagnosis. The cystoscope will be required by the doctor for looking for any problems in the lining of the bladder and they will be able to do biopsies if required. If the patient’s doctor finds out a small growth or stone, it may be removed with the help of the cystoscope.

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.

What complications can happen?

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.

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.

How soon will the patient 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 rigid cystoscopy?

A scan may do, 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 flexible cystoscopy.

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