Bladder cystoscopy

Pathology of the bladder is a widespread phenomenon, especially in older people. As a rule, diseases progress rapidly and negatively affect the functioning of the body. Early detection of urinary tract pathologies will help get rid of the disease in a short time. Therefore, urologists recommend that patients seek diagnostics at the slightest discomfort.

In the urology department of the "K+31" clinic, patients can undergo a wide range of modern diagnostic studies, including endoscopic examination of the bladder.

What is cystoscopy?

The method consists in the study of the bladder, its mucous membranes. For the procedure, a special device is used - a cystoscope. This is an endoscopic equipment equipped with a light source and a high-resolution video camera at the end.

The urologist inserts the instrument into the patient's bladder through the urethra, the information obtained is displayed on the overview monitor. With the help of optical and digital magnification, the doctor examines the structure of the inner wall of the urinary and urethra, assesses the condition of the organs from the inside.

Indications for a diagnostic procedure

Cystoscopy is an important study to clarify the diagnosis after other examinations: ultrasound, laboratory tests, cystograms (bladder X-ray), etc.

Also, the reason for the appointment of diagnostics will be:

  • surgical treatment (planned) on the pelvic organs;
  • chronic cystitis with frequent periods of exacerbation;
  • the presence of sediment or blood clots in the urine;
  • changes in smell or color of urine;
  • discomfort or pain during bowel movements;
  • frequent urination;
  • pain in the lower abdomen or lower back;
  • feeling of incomplete emptying of the bladder.

These symptoms may indicate serious illnesses and require examination by a specialist. Cystoscopy is prescribed for suspected cystitis, prostatitis, enuresis, urolithiasis, etc.

What does diagnostics show?

During cystoscopy, the diagnostician receives the following information about the state of the organs of the genitourinary system:

  • development of the inflammatory process;
  • structural anomalies;
  • calculi, hernias;
  • texture and color of the bladder mucosa;
  • the presence of foreign bodies in the body;
  • ulcerative manifestations, the presence of a blood trail, mucosal atrophy;
  • consequences of injury - ruptures, cracks, hematomas;
  • neoplasms of various nature;
  • strictures of the urethra.

The high information content of the study makes it indispensable for monitoring the treatment of complex pathologies and complications.

Manipulations during cystoscopy

The use of a cystoscope provides a wide range of therapeutic possibilities. With its help, during a urethrocystoscopy session, the doctor can:

  • take tissue for subsequent biopsy;
  • remove polyps and other small neoplasms;
  • to carry out coagulation of ulcerative areas and erosions in the study area;
  • crush and remove small stones;
  • remove foreign bodies;
  • inject drugs.

In some cases, therapeutic manipulations are carried out urgently, for example, if the pathology was detected directly during the diagnosis.

Contraindications to the procedure

As with any medical intervention, cystoscopy has a number of limitations. It is not used for:

  • inflammatory processes in the genitourinary system;
  • urethral fever;
  • profuse bleeding from the urethra;
  • urethral injuries;
  • hemophilia.

In order to completely exclude the presence of infection and carry out the procedure, the patient must provide the result of a urine test, which was passed no more than five days ago.

Cystoscopy of the bladder in women

Due to the anatomical features (short and straight urethra), women tolerate this type of diagnosis more easily. Urethrocystoscopy is often prescribed and is a common method for clarifying diagnoses such as cystitis and inflammation.

A bladder examination in women may cause only mild discomfort, as it is performed under local anesthesia. The exception is large uterine tumors. Such a pathology requires gentle research methods, therefore flexible endoscopy is used.

During pregnancy, cystoscopy in women is performed in a hospital for kidney drainage, if an admixture of blood is found in the urine.

Cystoscopy of the bladder in men

The length of the male urethra exceeds 20 cm, the study requires experience and caution from the doctor. To eliminate discomfort, the procedure is performed under anesthesia.

If it is necessary to study in childhood, a special, flexible endoscope is used. Diagnosis is carried out by pediatric specialists with extensive practical experience.

Cystoscopy: preparation

In order to get maximum information during the study, the patient needs to properly prepare for the procedure. For this you should:

  • Refuse food 10 hours before diagnosis.
  • Stop drinking all liquids 4 hours before the procedure.
  • Perform genital hygiene.
  • Empty the bladder just before the cystoscopy.

On the appointed day of the study, it is recommended to exclude sports, driving a car and any activity that requires increased concentration.

If cystoscopy is used for therapeutic manipulations, doctors prefer to put the patient to sleep using general anesthesia. Spinal anesthesia can also be used - in this case, the sensitivity is turned off only in the lower half of the body, the patient remains conscious.

The use of anesthesia is justified if the patient has a high sensitivity to pain or mental disorders that can interfere with the procedure.

How bladder cystoscopy is performed

On average, the procedure takes about a quarter of an hour. In the case of additional medical manipulations (taking a biopsy, removing the identified neoplasms), the time may increase.

Two types of endoscopes are used for research: rigid and flexible. The first allows you to get a greater overview during the procedure, the second is less traumatic, easily penetrates into hard-to-reach places. The choice of endoscopic equipment is carried out by the doctor, based on the characteristics of the patient's body and his diagnosis.

The algorithm for performing cystoscopy is as follows:

  1. The patient changes into a sterile gown, lies on the couch on his back, legs bent at the knees.
  2. Antiseptic treatment of the genitals is in progress.
  3. The doctor selects anesthesia (injects lidocaine gel or novocaine solution into the urethra, puts the patient into drug sleep, etc.).
  4. The doctor inserts an endoscope through the urethra into the bladder and slowly advances it towards the bladder.
  5. A sterile fluid (saline or water) is passed through the cystoscope, filling and distending the bladder. This allows the doctor to examine its inner surface.

After the procedure is completed, the patient remains in the clinic for half an hour under medical supervision, after which he can go home on his own. If general anesthesia was performed, the length of stay in the clinic increases.

Possible complications

Cystoscopy is a safe diagnostic method. However, if it is carried out by an inexperienced specialist or the patient ignores the basic rules of hygiene, complications may arise. These include:

  • bladder wall puncture;
  • the presence of blood in the urine for two days after the procedure;
  • cystitis;
  • urinary erosion;
  • infectious diseases of the genitourinary organs.
  • temporary urinary incontinence (in men).

If the study is carried out correctly, discomfort and mild pain disappear within 48 hours.

If after the procedure there is severe pain during urination, the body temperature rises, you need to urgently seek medical help!

Cystoscopy at the "K+31" clinic in Moscow

In the medical center, the procedure is carried out using modern equipment. The medical staff of the clinic guarantees the confidentiality of personal data and the high level of services provided at affordable prices. Experienced urologists and anesthetists at the "K+31" clinic do everything in their power to ensure that the procedure is carried out quickly, with maximum comfort and painlessness for the patient.

The price of cystoscopy of the bladder in women and men is from 10,300 rubles. The exact cost depends on the chosen method of anesthesia, the need for concomitant manipulations.

Make an appointment with a clinician at a convenient time for you. Clinic staff will be happy to answer all your questions and provide the necessary assistance.

Service record

Services



Specialists

All specialists
Rasner
Pavel Ilyich

Consultant in urology, urologist

Doctor of Sciences, PhD, professor

Osmolovsky
Boris Evgenyevich

Head of the Department of Urology, Urologist

PhD

Tereshchenko
Suren Alexandrovich

Doctor urologist-andrologist

Doctor of Sciences, PhD

Kamalov
Armais Albertovich

Chief Consultant in Urology, Urologist

Academician, professor, Doctor of Sciences, PhD

Pshikhachev
Ahmed Mukhamedovich

Urologist, Oncologist

Doctor of Sciences, PhD

Gomberg
Mikhail Alexandrovich

Dermatovenereologist

Doctor of Sciences, PhD, professor

Marchenko
Vladimir Vladimirovich

Leading urologist-andrologist, urogynecologist, pelvic pain specialist