Rigid Cystoscopy (Female)

Rigid cystoscopy is a medical procedure used to visually examine the inside of the bladder and urethra. In females, it involves the insertion of a rigid tube with a camera and light on the end through the urethra and into the bladder.

Indications

• Investigation of hematuria (blood in the urine)
• Diagnosis of urinary tract infections or interstitial cystitis
• Removal of bladder stones or foreign bodies
• Treatment of bladder tumors or cancer
• Examination of the urethra and bladder for abnormalities such as strictures, fistulas, or diverticula

Preparation

Prior to the procedure, patients are typically asked to:

• Arrive at the hospital or clinic with a full bladder
• Remove any clothing from the waist down
• Change into a hospital gown
• Empty their bladder if it is too full, as this can make the procedure more difficult

Procedure

The rigid cystoscopy procedure typically involves the following steps:

1. The patient is positioned on an examination table in the lithotomy position (on their back with legs raised and supported by stirrups)
2. A local anesthetic or sedation may be administered to minimize discomfort
3. The rigid cystoscope is lubricated and inserted through the urethra and into the bladder
4. Once inside the bladder, the camera and light on the end of the cystoscope allow the doctor to visually examine the interior of the bladder and urethra
5. Any necessary procedures, such as biopsies or removal of stones, can be performed through the cystoscope
6. The cystoscope is then removed, and the procedure is complete

Risks and Complications

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

• Infection or urinary tract infection (UTI)
• Bleeding or hematuria
• Damage to the urethra or bladder
• Discomfort or pain during or after the procedure
• Allergic reaction to the anesthetic or other medications used during the procedure

Aftercare

Following a rigid cystoscopy, patients may experience some discomfort or bleeding, and are typically advised to:

• Avoid heavy lifting or strenuous activity for several days
• Drink plenty of fluids to help flush out the bladder and urethra
• Take any prescribed medications as directed
• Follow up with their doctor to discuss the results of the procedure and any further treatment that may be necessary

Alternatives

In some cases, a flexible cystoscopy may be used instead of a rigid cystoscopy. Flexible cystoscopy involves the use of a flexible tube with a camera and light on the end, which can be more comfortable for patients and provide better visualization of certain areas of the bladder and urethra.

Frequently Asked Questions (FAQs)

What is a rigid cystoscopy?
A procedure using a rigid scope to visualize the inside of the bladder.

Why is a rigid cystoscopy performed in females?
To diagnose and treat conditions such as bladder stones, tumors, or bleeding.

How is a rigid cystoscopy typically performed?
Under general or local anesthesia, with the patient usually in the lithotomy position.

What are the common indications for a rigid cystoscopy in females?
Hematuria, recurrent urinary tract infections, and bladder lesions or tumors.

Are there any risks associated with a rigid cystoscopy?
Potential risks include infection, bleeding, and injury to the urethra or bladder.

How long does a rigid cystoscopy procedure typically take?
Usually around 15-30 minutes, depending on the complexity of the case.

What type of anesthesia is commonly used for a rigid cystoscopy in females?
General anesthesia or local anesthesia, such as lidocaine or spinal anesthesia.

Can a rigid cystoscopy be performed on an outpatient basis?
Yes, often as a day-case procedure, but may require overnight hospital stay in some cases.

What is the typical recovery time after a rigid cystoscopy?
Usually several hours to a few days, with some discomfort and urinary frequency possible.

Are there any post-procedure instructions or precautions for females after a rigid cystoscopy?
Typically includes increasing fluid intake, avoiding heavy lifting, and monitoring for signs of infection.