Rigid Cystoscopy (Male)

Rigid cystoscopy is a medical procedure used to visually examine the inside of the bladder and urethra in males. The procedure involves inserting a rigid tube with a camera and light on the end, called a cystoscope, through the urethra and into the bladder.

Indications

Rigid cystoscopy is typically performed to:

• Diagnose and treat bladder problems, such as bladder cancer, stones, or tumors
• Investigate the cause of symptoms like blood in the urine, painful urination, or frequent urination
• Remove blockages or foreign objects from the urethra or bladder
• Perform biopsies or take tissue samples for further examination

Preparation

Before undergoing a rigid cystoscopy, patients are usually:

• Asked to arrive at the hospital or clinic with a full bladder
• Given a local anesthetic or sedation to help relax and reduce discomfort during the procedure
• Positioned on an examination table in a way that allows easy access to the urethra

Procedure

The rigid cystoscopy procedure typically involves the following steps:

1. The doctor inserts the cystoscope into the urethra and gently advances it through the prostate gland and into the bladder
2. The camera and light on the end of the cystoscope allow the doctor to visualize the inside of the bladder and urethra
3. The doctor may use special instruments passed through the cystoscope to perform biopsies, remove blockages, or take tissue samples
4. The procedure usually takes around 10-30 minutes to complete

Aftercare

After a rigid cystoscopy, patients may experience:

• Mild discomfort or burning during urination for a few hours after the procedure
• Some blood in the urine, which should clear up on its own within a few days
• A sensation of needing to urinate frequently or urgently for a short time after the procedure

Patients are usually advised to:

• Drink plenty of fluids to help flush out their system and reduce the risk of infection
• Avoid heavy lifting, bending, or strenuous activities for a few days after the procedure
• Follow any specific instructions provided by their doctor regarding medication, follow-up appointments, or self-care

Risks and Complications

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

• Infection of the urinary tract or bladder
• Bleeding or hemorrhage during or after the procedure
• Damage to the urethra, prostate gland, or bladder
• Allergic reactions to the anesthetic or other medications used during the procedure

Alternatives

In some cases, a flexible cystoscopy may be performed instead of a rigid cystoscopy. Flexible cystoscopy uses a more flexible tube and is often preferred for patients who have had previous urinary tract surgery or have certain medical conditions.

Other diagnostic tests, such as ultrasound, CT scans, or MRI scans, may also be used to evaluate the bladder and urethra, depending on the specific symptoms and medical history of the patient.

Frequently Asked Questions (FAQs)

What is a rigid cystoscopy?
A procedure to visually examine the inside of the bladder and urethra using a rigid scope.

Why is a rigid cystoscopy performed in males?
To diagnose and treat problems such as bladder tumors, stones, or obstruction.

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

What are the common indications for a rigid cystoscopy in males?
Hematuria, urinary retention, recurrent infections, or suspected bladder cancer.

Are there any risks associated with a rigid cystoscopy?
Potential risks include infection, bleeding, and urethral injury or stricture.

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?
General anesthesia or regional anesthesia, such as spinal or epidural.

Can a biopsy be taken during a rigid cystoscopy?
Yes, if necessary, to examine tissue samples for abnormal cell growth or cancer.

Is a rigid cystoscopy painful after the procedure?
Some patients may experience mild discomfort, burning, or frequency, usually temporary.

How soon can normal activities be resumed after a rigid cystoscopy?
Typically within a few days to a week, depending on individual recovery and any additional treatments.