Why it is done
Imaging can miss a flat or small bladder tumour entirely. Cystoscopy is the reference test for the bladder lining.
- Blood in the urine, visible or microscopic
- Surveillance after bladder tumour treatment
- Recurrent infection with an atypical pattern
- Suspected urethral stricture or bladder neck obstruction
- Removal of a DJ stent
- Unexplained persistent urgency or pelvic pain
What it is actually like
Flexible cystoscopy is an OPD procedure. Local anaesthetic jelly is instilled, the scope is passed gently, and the whole examination takes a few minutes. Most patients describe pressure and a need to pass urine rather than pain. You go home immediately and can drive yourself. A rigid cystoscopy under anaesthesia is used when a biopsy or treatment is planned in the same sitting.
Afterwards
Mild burning and a pink tinge to the urine for a day or two are normal. Drink well. Fever, inability to pass urine or heavy bleeding needs a call. Findings are explained to you immediately after the procedure — you will not be left waiting a week to be told what was seen.
Cystoscopy — common questions
Is cystoscopy painful?
Uncomfortable rather than painful with flexible cystoscopy and local anaesthetic jelly. Most patients say it was easier than expected.
Do I need anaesthesia?
Not for a diagnostic flexible cystoscopy. Anaesthesia is used when a biopsy, stent removal in a difficult case, or treatment is planned.
How long does it take?
The examination itself takes about five minutes; allow around an hour in the clinic in total.
Can I go to work afterwards?
Yes, most people return to work the same day after a flexible cystoscopy.
Reviewed by Dr. Kinjal Banerjee, MBBS, MS (General Surgery), DNB (Urology) — Urologist, Renal Transplant & Robotic Surgeon, Faridabad. This page explains cystoscopy in general terms; your own treatment plan depends on your reports and examination.