Cystoscopy (bladder endoscopy)

Cystoscopy (bladder endoscopy)

Cystoscopy in Tunis, Tunisia · Centre Urbain Nord

Examination of the inside of the urethra and bladder with a thin flexible camera, usually under simple local anaesthesia.

What is it?

Cystoscopy, or flexible cystoscopy, allows the inside of the urethra and bladder to be viewed directly. After applying an anaesthetic gel, the urologist passes a thin, flexible endoscope fitted with a camera and a light through the natural passages. The examination is used to look for the cause of blood in the urine, to monitor a previously treated bladder tumour, to investigate unexplained infections or urinary symptoms, or to check the condition of the urethra. It is also used to remove a double-J stent. If needed, a small biopsy can be taken. In some cases (multiple biopsies, children, anxious patients), cystoscopy is performed with a rigid endoscope under brief general anaesthesia. The urologist will advise on the most suitable method. At Clinique Pasteur Tunis, cystoscopy is performed in a specialist consultation or as a day-case procedure. Patients can often watch the images live, and the urologist explains the findings at the end of the examination.
Cystoscopy (bladder endoscopy)

When is it indicated?

Blood in the urine

Even a single episode of visible blood in the urine should be investigated. Cystoscopy looks for a cause in the bladder or urethra.

Follow-up after a bladder tumour

After treatment of a bladder tumour, regular cystoscopies allow any recurrence to be detected and treated early.

Unexplained urinary symptoms or infections

Frequent urges, pain or repeated infections without an obvious cause may justify looking inside the bladder.

Suspected urethral stricture

A weak stream in a young man may be due to a narrowing of the urethra, which cystoscopy can reveal.

Removal or replacement of a double-J stent

The stent is removed in a few minutes using small forceps passed through the endoscope.

Preparation

1Urine test a few days beforehand to rule out infection
2Informing the team of any anticoagulant treatment or allergy
3No fasting needed under local anaesthesia
4Passing urine just before the examination

Procedure

1

Lying down, with legs slightly apart

2

Cleaning of the genital area

3

Application of an anaesthetic gel into the urethra

4

Gentle insertion of the flexible endoscope into the bladder

5

Filling the bladder with saline to see the walls clearly

6

Complete examination, possible biopsy, then removal of the endoscope

Duration

5 to 15 minutes

Aftercare & Recovery

Patients go home immediately after an examination under local anaesthesia. Mild burning when passing urine and a little blood are possible for 24 to 48 hours; drinking plenty of fluids is advised. The urologist explains the findings straight away; if a biopsy was taken, its result is given in a consultation.

Risks and side effects

Burning when passing urine for 1 to 2 days
A little blood in the urine
Urinary infection, uncommon: seek medical advice in case of fever
Temporary difficulty passing urine, very rare

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 5 to 15 minutes
Preparation: Required
Dedicated specialist team

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