Cystoscopy, also known as cystourethorscopy, is a procedure which uses a thin, lighted tube with a lens (a cystoscope) which functions as a telescope, giving your doctor a clear view of your bladder and urethra. Cystoscopy is used to diagnose bladder tumors or any abnormalities or obstructions in the bladder or urethra.

Having a cystoscopy: what to expect

Your doctor will ask you to empty your bladder before a cystoscopy, and then will administer local anesthesia. When you are lying comfortably on an exam table, your doctor will insert the cystoscope through the urethra and into the bladder.

Water or saline is then inserted through the cystoscope, until it fills the bladder, stretching its walls like a balloon. At this point your doctor will examine your bladder for any abnormalities through the cystoscope lens.

A normal, healthy bladder will expand to normal shape, size and position, with no blockages. The walls of a healthy bladder should appear smooth. Your doctor will note any abnormalities at this point, and can take a small sample with the cystoscope for later analysis.

When the cytoscope is removed you may feel a burning in the urethra or soreness for up to 48 hrs. Contact your doctor if your discomfort persists longer than 48 hrs, if you get a fever, or if your urine looks red or discolored.

The cystoscopy procedure should take about 10 to 15 minutes, and can be performed in your doctor’s office or in an outpatient clinic.

Talk to your doctor about any concerns you may have before your cystoscopy procedure.