Cystoscopy is insertion of a rigid or flexible fiberoptic instrument into the bladder.
Indications include the following:
Helping diagnose urologic disorders (eg, bladder tumors Bladder Cancer Bladder cancer is usually transitional cell (urothelial) carcinoma. Patients usually present with hematuria (most commonly) or irritative voiding symptoms such as frequency and/or urgency; later... read more , calculi in the bladder Urinary Calculi Urinary calculi are solid particles in the urinary system. They may cause pain, nausea, vomiting, hematuria, and, possibly, chills and fever due to secondary infection. Diagnosis is based on... read more , benign prostatic hyperplasia Benign Prostatic Hyperplasia (BPH) Benign prostatic hyperplasia (BPH) is nonmalignant adenomatous overgrowth of the periurethral prostate gland. Symptoms are those of bladder outlet obstruction—weak stream, hesitancy, urinary... read more )
Accessing the bladder for ureteral x-rays or placement of JJ ("double J") stents (stents with coiled ends placed in the renal pelvis and bladder)
The main contraindication is active urinary tract infection Introduction to Urinary Tract Infections (UTIs) Urinary tract infections (UTIs) can be divided into upper tract infections, which involve the kidneys (pyelonephritis), and lower tract infections, which involve the bladder (cystitis), urethra... read more (UTI).
Cystoscopy is usually done in an outpatient setting with use of local anesthesia (urethral application of 2% lidocaine gel) or, when necessary, conscious sedation or general anesthesia. Complications include UTI, bleeding, and bladder and/or urethral trauma.