Flexible Cystoscopy (Female)

A flexible cystoscopy is a medical procedure used to visually examine the inside of the bladder and urethra. In females, this procedure is performed using a flexible cystoscope, which is a thin, flexible tube with a camera and light on the end.

Indications

• Investigation of hematuria (blood in the urine)
• Diagnosis of urinary tract infections (UTIs) or interstitial cystitis
• Examination of bladder tumors or stones
• Evaluation of urethral strictures or obstruction
• Investigation of recurrent urinary tract symptoms, such as frequency, urgency, or incontinence

Preparation

Prior to the procedure, patients are typically asked to:

• Arrive with a full bladder
• Avoid eating or drinking for a few hours before the procedure
• Remove any clothing or jewelry that may interfere with the procedure
• Provide a urine sample for testing

Procedure

The flexible cystoscopy procedure typically involves the following steps:

1. The patient is positioned on an examination table, usually in a supine or lithotomy position.
2. A local anesthetic gel may be applied to the urethral opening to minimize discomfort.
3. The flexible cystoscope is gently inserted into the urethra and guided into the bladder.
4. Saline solution may be used to fill the bladder, allowing for better visualization of the bladder walls and interior structures.
5. The camera on the end of the cystoscope transmits images to a monitor, allowing the healthcare provider to visualize the inside of the bladder and urethra.
6. Biopsies or other procedures may be performed during the examination if necessary.

Risks and Complications

As with any medical procedure, there are potential risks and complications associated with flexible cystoscopy, including:

• Discomfort or pain during or after the procedure
• Bleeding or hematuria
• Urinary tract infection (UTI)
• Perforation of the bladder or urethra (rare)

Aftercare

Following the procedure, patients may experience:

• Mild discomfort or burning during urination
• Frequency or urgency of urination
• Blood in the urine (hematuria)

Patients are typically advised to:

• Drink plenty of fluids to help flush out the bladder and urethra
• Avoid strenuous activities or heavy lifting for a few hours after the procedure
• Take any prescribed medications as directed

Frequently Asked Questions (FAQs)

What is a flexible cystoscopy?
A procedure to visually examine the bladder and urethra using a flexible tube with a camera.

Why is a flexible cystoscopy performed in females?
To diagnose and monitor conditions such as urinary tract infections, bleeding, or tumors.

How is a flexible cystoscopy typically performed?
Under local anesthesia, a flexible cystoscope is inserted through the urethra into the bladder.

Is a flexible cystoscopy painful?
Generally not, but may cause mild discomfort or a feeling of urgency to urinate.

What are the risks and complications of a flexible cystoscopy?
Infection, bleeding, or injury to the urethra or bladder, although rare.

How long does a flexible cystoscopy procedure take?
Typically around 5-10 minutes.

Can a female drive herself home after a flexible cystoscopy?
Usually yes, but may depend on individual circumstances and anesthesia used.

Are there any activity restrictions after a flexible cystoscopy?
May need to avoid heavy lifting or strenuous activities for a short period.

How soon can a female return to normal activities after a flexible cystoscopy?
Typically within a day or two, depending on individual recovery.

Will a flexible cystoscopy require an overnight hospital stay?
Usually not, often performed as an outpatient procedure.