What Is Cystoscopy?
Cystoscopy is a minimally invasive procedure that allows Dr. Libby to directly visualize the inside of the bladder and urethra using a thin, flexible instrument called a cystoscope. The scope has a light and camera that project images onto a monitor, allowing detailed examination of the bladder lining and any abnormalities. Cystoscopy can be purely diagnostic or include therapeutic interventions like biopsy, small tumor removal, or treatment of strictures.
Why Is Cystoscopy Performed?
- Blood in the urine — to identify the source (tumor, stone, infection)
- Bladder pain or interstitial cystitis — to assess inflammation and rule out cancer
- Recurrent UTIs — to identify anatomic abnormalities or strictures
- Urinary urgency/frequency — to rule out cancer or abnormal growths
- Overactive bladder — to assess bladder capacity and wall abnormalities
- Bladder tumors — for biopsy or small tumor removal
- Urethral strictures — to visualize and treat narrowed areas
What to Expect
Before Cystoscopy
You'll have a consultation with Dr. Libby to discuss why cystoscopy is recommended. You may fast briefly before the procedure. Local or general anesthesia options depend on the expected scope of the procedure.
During the Procedure
You'll lie on your back. A sterile lubricant and local anesthetic are applied. The cystoscope is gently advanced through the urethra into the bladder. Dr. Libby examines the bladder lining systematically, looking for any abnormalities. If therapeutic intervention is needed (biopsy, stricture treatment, etc.), instruments are passed through the scope. The procedure usually takes 10-30 minutes.
Recovery
You can go home after brief observation. You may feel mild burning with urination for 24 hours and notice slight pink-tinged urine — both are normal. Drink plenty of fluids. Avoid strenuous activity for a few days. Most patients return to normal activities within 24-48 hours.
Comprehensive Urological Evaluation
Cystoscopy is often an important diagnostic step when you have bothersome urinary symptoms or blood in the urine. Dr. Libby's experience with cystoscopy ensures thorough evaluation and appropriate diagnosis. If you need urological evaluation, schedule a consultation to discuss whether cystoscopy is right for you.