Cystoscopy

In this procedure, the doctor will insert a small lighted camera into your bladder. With this camera we can visualize the bladder and the urethra. This procedure is used in women who have problems with their bladder such as IC chronic infections, leakage, overactive bladder or bloody urine.

The procedure is done in the office with anesthesia. First the doctor will clean the entrance to the bladder and place a small amount of anesthetic gel within it. Then, a small camera is inserted into the bladder and the bladder wall can be seen on a screen. Your doctor can then see if the bladder lining shows any signs of inflammation, ulcerations or abnormal growths.

A Cystoscopy can also be combined with other procedures and is often used to inspect the bladder after surgeries that may occur near the bladder such as a hysterectomy or pelvic organ prolapse surgery. Sometimes, a Cystoscopy can be done with a ‘hydro distension’. In this procedure the bladder is filled to high pressure; this procedure can be painful and is usually done under anesthesia; and is commonly used to treat Interstitial Cystitis.

 

Cystoscopy Procedure

Cystoscopy: is a procedure to look at the inside of your urethra and bladder. Using a thin, lighted instrument, allows for diagnosis and/or treatment of your bladder.

Although Interstitial Cystitis (IC) is generally diagnosed by the exclusion of other conditions, along with the hallmark symptom, pain, there are cases where an additional test is needed. Cystoscopy with hydrodistention under anesthesia may be necessary when an IC diagnosis is in doubt and the symptoms are complicated. “Complicated” symptoms include incontinence or overactive bladder, gastrointestinal problems, blood or protein in the urine, and gynecologic problems. Under general anesthesia performed in the hospital or regional anesthesia performed in an office setting, this procedure uses a cystoscope to look inside your bladder after slowly stretching it with fluid (hydrodistention). This allows Dr. Delgado to see changes inside of your bladder that are typical of IC, including the presence of pin-point sized red marks on the bladder wall, also called glomerulations or petechial hemorrhages, as well as determine bladder capacity under anesthesia. This procedure also gives doctors more information about the severity of the symptoms in order to determine the appropriate treatment protocol.

In-office cystoscopy without the use of anesthesia may NOT reveal the glomerulations on your bladder and the diagnosis of IC can be MISSED.

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