What space cystoscopy and ureteroscopy?

Cystoscopy and also ureteroscopy are typical procedures perform by a urologistto look inside the urinary tract.

You are watching: An instrument used for visual examination of the bladder is called a

Cystoscopy is a procedure that offers a cystoscope to look inside the urethraand bladder. A cystoscope is a long, thin optical instrument with an eyepiece at one end, a strictly or flexible tube in the middle, and also a small lens and also light at the other end of the tube. A urologist fills the bladder with fluid and looks at thorough images that the urethra and bladder linings top top a computer monitor.

Ureteroscopy is a procedure that offers a ureteroscope come look inside the uretersand kidneys. Like a cystoscope, a ureteroscope has actually an eyepiece at one end, a strict or flexible tube in the middle, and also a tiny lens and also light in ~ the other end of the tube. However, a ureteroscope is longer and thinner than a cystoscope so the urologist have the right to see thorough images the the lining that the ureters and also kidneys.

Cystoscope (left) and also ureteroscope (right)

Why do health care professionals carry out cystoscopy?

A urologist performs a cystoscopy to uncover the reason of, and sometimes treat, urinary tract difficulties such as

pains or burn before, during, or ~ urination trouble starting urination, perfect urination, or both abnormal cells, such as cancer cells, found in a to pee sample

During a cystoscopy, a urologist have the right to see

abnormal tissue, tumors, or cancer in the urethra or bladder secondary signs that obstruction (or blockage), such together an enlarged prostate gland

During a cystoscopy, a urologist have the right to sometimes act problems, such as bleeding in the bladder and also blockage in the urethra. A urologist may also use a cystoscopy to

eliminate a stone in the bladder or urethra remove or treat abnormal tissue and tumors inject material into the wall surface of the urethra to treat urinary leakage or prevent vesicoureteral reflux inject medicines right into the bladder to treat urinary leakage attain urine samples native the ureters

Why execute health treatment professionals perform ureteroscopy?

A urologist performs a ureteroscopy to discover the reason of to pee blockage in a ureter or to advice other difficulties inside the ureters or kidneys. During a ureteroscopy, a urologist can see

a stone in a ureter or kidney problematic tissue, tumors, or cancer in a ureter or in the lining that a kidney

During a ureteroscopy, a urologist can treat troubles such as urine blockage in a ureter. The urologist have the right to also

remove a stone from a ureter or kidney remove or act abnormal tissue and tumors take it a sample that ureter or kidney tissue for a biopsy

How carry out I prepare for a cystoscopy or ureteroscopy?

Your urologist will certainly ask about your medical history to determine whether you require a cystoscopy or ureteroscopy. You might need to give a pee sample come test for a UTI. If you have a UTI, you might need to take it antibiotics prior to either procedure.

Your urologist will additionally ask around any medications you are taking, asking if girlfriend have any type of allergies, talk around anesthesia, provide instructions because that what come do prior to the procedure, and discuss what to expect afterward. In part cases, friend won’t need special preparations for a cystoscopy. In other cases, her instructions might include

as soon as to stop certain medicines, such together blood thinners as soon as to avoid eating and drinking or, conversely, once to drink many of liquids as soon as to empty your bladder before the procedure even if it is to arrange because that a ride house after the procedure
To prepare for a cystoscopy or ureteroscopy, her urologist will certainly talk through you about anesthesia, give you instructions for what to do before the procedure, and also discuss what to expect afterward.

How perform health care professionals carry out cystoscopy or ureteroscopy?

A urologist deserve to perform your cystoscopy during an office visit, in one outpatient center, or at a hospital. Ureteroscopies are usually carry out in an operation room under anesthesia. A straightforward exploratory procedure takes around 15 come 30 minutes, consisting of preparation. The procedure have the right to be much longer if your urologist performs extr work favor taking a biopsy or remove stones native the bladder or ureters.

An anesthetic gel might be used around the urethral opening, or a local anesthetic might be injected right into the urethra.

Sedatives and also general anesthesia are regularly given because that a

ureteroscopy cystoscopy through biopsy cystoscopy come inject material into the wall of the urethra or ureters cystoscopy come inject medicine into the bladder

Sedation help you relax and also be comfortable. General anesthesia puts you into a deep sleep during the procedure.

The health treatment team will certainly monitor your an essential signs and also make you together comfortable as possible.

The urologist will place you and also make certain the anesthesia is working. The urologist will certainly then gently insert the cystoscope into your urethra and also slowly guide it to the bladder. A sterile liquid dubbed saline will be used to gradually fill the bladder, for this reason the urologist has a better view the the bladder wall. Together the bladder fills through liquid, you may feel some discomfort and also the urge to urinate. The urologist may remove some of the fluid from the bladder throughout the procedure.

During a cystoscopy, the urologist will examine the lining that the urethra and also bladder and also may insert tiny instruments with the cystoscope come treat problems in the urethra and also bladder or do a biopsy.

View full-sized image
During a cystoscopy, a cystoscope is placed through the urethra into the bladder.

During a ureteroscopy, the urologist will emphasis on viewing the ureter and also lining of the kidney, known as the renal pelvis. The urologist may likewise insert tiny instruments v the ureteroscope to treat difficulties in the ureter or kidney, perform a biopsy, or cauterize a bleeding area.

View full-sized image
During a ureteroscopy, a ureteroscope is placed through the urethra and also into the ureter.

After either procedure, the urologist may remove the fluid from the bladder, or you may empty your bladder.

What should I mean after a cystoscopy or ureteroscopy?

You will have the ability to go home after virtually any cystoscopy carry out in one outpatient office setting. If the is performed in an operating room, you will certainly most most likely go house the very same day as the procedure, depending upon what form of anesthesia girlfriend receive. If you receive basic anesthesia, you may need to wait 1 come 4 hours prior to going home. In some cases, you might need to stay overnight in the hospital.

Before leaving, shot to use the restroom to make sure you can urinate. You will do it be provided discharge instructions for rest, driving, and physical activities after the procedure.

Depending on your procedure and also what to be done, girlfriend may

have a mild burn feeling as soon as urinating see small amounts the blood in the urine have mild uncomfortable in the bladder area or kidney area when urinating have to urinate much more frequently or urgently

These difficulties should no last more than 24 hours. Phone call a health care professional best away if bleeding or ache is severe, if you cannot urinate, or if troubles last more than a day.

See more: What Does The Difference Mean In Math ? What Does A Positive Difference Mean In Math

Once you room at home, her health care professional might recommend you

drink 16 ounces the water every hour for a few hours ~ the procedure take it a warm bath to relieve any kind of burning feeling host a warm, wet washcloth over the urethral opening to relax discomfort take it an over-the-counter pain reliever take it an antibiotic for 1 or 2 days to prevent an infection

If you had a ureteroscopy and also needed a short-term stent inserted in the ureter to drain urine while swelling goes away, the stent may reason some pain, uncomfortable in the kidney or bladder area, or the have to urinate frequently and urgently. The uncomfortable is typically mild. However, this sensations might be existing during the entire time you have the stent. The stent might be left in the ureter for a couple of days come a week or more. Her urologist may need to do a cystoscopy to remove the stent in the ureter.

What are the threats of cystoscopy and ureteroscopy?

The threats of cystoscopy and ureteroscopy include

UTIs abnormal bleeding ab pain or a burning emotion or ache while urinating the inability to urinate ede injury come the urethra, bladder, or ureters urethral narrowing due to scar tissue formation complications from anesthesia

Seek treatment right away

After a cystoscopy or ureteroscopy, contact or see a health treatment professional best away if you

can not urinate and feel choose your bladder is complete have burning or painful urination that lasts an ext than 2 days check out bright red urine or blood clots in the urine have actually a fever, with or without chills feel major discomfort

This content is detailed as a organization of the nationwide Institute of Diabetes and Digestive and Kidney Diseases(rebab.net), component of the nationwide Institutes that Health. The rebab.net translates and also disseminates study findings to boost knowledge and understanding around health and an illness among patients, health and wellness professionals, and also the public. Content produced by the rebab.net is very closely reviewed by rebab.net scientists and other experts.

The rebab.net would like to thank:Brian T. Helfand M.D., Ph.D., NorthShore university HealthSystem