Surveillance Cystoscopy
A cystoscopy is a medical procedure that involves the examination of the inside of the bladder and urethra using a thin, flexible tube called a cystoscope. This procedure is often performed to diagnose and monitor various urological conditions, including bladder cancer.
Below are a general overview of what to expect during a cystoscopy for bladder cancer:
Preparation:
- Before the procedure, the patient may be asked to empty their bladder.
- Some patients may receive a mild sedative or local anesthesia to help relax and numb the area.
Insertion of the Cystoscope:
- The cystoscope is a slender tube with a light and a camera on the end.
- It is inserted through the urethra and advanced into the bladder.
- The procedure may cause some discomfort or a feeling of pressure.
Visualization and Inspection:
- The camera on the cystoscope transmits images to a monitor, allowing the urologist to see the inside of the bladder.
- The urologist examines the bladder walls, looking for any abnormalities, growths, or signs of cancer.
- Special attention is given to identifying tumors or lesions.
Biospy:
- If suspicious areas are found, the urologist may perform a biopsy.
- Small tissue samples are taken from the bladder wall for further examination under a microscope.
- Biopsy results help determine the presence and nature of any cancerous cells.
Irrigation and Treatment:
- In some cases, the urologist may perform additional procedures during cystoscopy.
- For example, they may remove small tumors, cauterize bleeding areas, or administer treatments directly into the bladder.
Completion and Recovery:
- Once the examination and any necessary procedures are completed, the cystoscope is removed.
- Patients may experience some mild discomfort or a burning sensation during urination in the hours following the procedure.
- Most individuals can resume normal activities shortly after the cystoscopy.
Follow-Up:
- After the cystoscopy, the patient will likely have a follow-up appointment to discuss the findings and any further treatment plans if necessary.