Cystoscopy allows an examination of the inside of the bladder. This study is carried out in order to identify various kinds of anomalies in its condition, as well as infectious foci and inflammations. In this article, we will briefly talk about this procedure.
Reviews for cystoscopy will be presented at the end of the article.
Indications for
This procedure is used when it is not possible to detect small tumors, their distribution and characteristics using alternative diagnostics. For example, an ultrasound scan of the bladder may not show the presence of small ulcers or polyps if they are at an early stage of development. This method allows you to get more detailed and accurate information. Cystoscopy is indispensable in detecting neoplasms of any size and shape, and allows you to determine their nature (benign or malignant). In addition, with its help, the formation of stones in the bladder, the localization of inflammation or damaged areas of the mucosa are monitored.
Cystoscopy is often prescribed for a child. Reviews in this regard are abundant.
It is performed for diseases such as interstitial cystitis, chronic cystitis, enuresis, suspected tumor processes and infections, prostatitis, adenoma, etc. If blood is found in the urine test, the doctor will definitely schedule this study. Also, this procedure is necessary in case of difficulty urinating and with pain localized in the pelvic region. In addition, the evidence for the study is the presence of prostatic hyperplasia, blockage or narrowing of the ureters. Reviews about cystoscopy are of interest to many.
Contraindications
Carrying out this procedure is contraindicated in diseases such as: acute inflammation of the bladder, infectious diseases of the genitourinary tract, orchitis, prostatitis in the acute stage. Also, cystoscopy is not prescribed for poor blood coagulation. Many patients complain of complications after cystoscopy has been performed during an exacerbation. Therefore, if you are scheduled for this procedure during the acute period, seek the advice of several specialists to rule out further problems.
Reviews of urinary cystoscopy in women are also presented in the article.
Treatment with this method
In most cases, diagnostic methods are used only to detect pathologies, treatment with them is impossible. Cystoscopic examination in this regard is more functional, and can help in getting rid of some ailments. For example, in this way you can remove neoplasms and stones, get rid of clogging and narrowing of the paths, burn small ulcers. Reviews of cystoscopy of the bladder in women confirm this.
Preparation for the procedure
It is necessary to prepare for this procedure in advance. If the study is going to be carried out using anesthesia, then the patient should not eat or drink for some time (the doctor will determine this time individually for the patient). The duration of a hunger strike depends on the composition of the subject, his metabolism, and most importantly on the type of anesthesia. It is worthwhile to think over clothes in advance without a large number of buttons and ties. And also carry out hygiene procedures immediately before the examination and empty the bladder. Reviews about cystoscopy are mostly positive.
Procedure
The study is carried out using a cystoscope, which resembles a tube, with an attached light fixture at one end. The instrument is gradually inserted into the urethra. Cystoscopy can be of two types: rigid and flexible (depending on the instruments used). With the rigid type, a standard cystoscope is used, which allows you to thoroughly and accurately examine the urinary tract and the bladder itself. This is a rather painful procedure, which is why they are anesthetized before the patient’s instrument (anesthesia can be spinal, local or general).
Flexible tube examination
This type of study involves the use of a flexible tube. The feeling of using it is not so painful. However, the data obtained as a result of the study are not so accurate. The choice of the type of study always remains with the doctor. Only he can decide which procedure is necessary in this case. During the examination, the patient is on the urological chair. According to reviews, bladder cystoscopy in men is very effective.
Duration
The urinary canal is filled with warm fluid, a cystoscope is inserted, and the doctor can examine the inner surface of the bladder. The inspection itself lasts no more than ten minutes, and the whole procedure in difficult cases can take up to forty minutes.
Carrying out the procedure under anesthesia makes it easier for both the patient and the doctor - he has the opportunity to calmly examine the patient. But the doctor also makes the decision to use anesthesia, based on laboratory and instrumental studies. The introduction of the instrument through the urethra allows you to assess the structure of all mucous membranes and conduct an examination for clogging, trauma and other injuries. The introduction of the solution into the cavity of the bubble provides a better visualization of its internal surfaces. Often, using this method, a biopsy is also performed.
Reviews about cystoscopy
Since the procedure is rather painful, most of the reviews relate specifically to pain. I must say that all patients agree that the examination conducted without anesthesia leaves a very unpleasant impression. Although, a lot depends on the experience and accuracy of the doctor conducting the study. Many patients note that if the doctor inserts the instrument carefully, this helps to avoid severe pain. In addition, patients note the quality of the equipment, paying attention to the fact that cystoscopy performed in a big city, in a good clinic and on new equipment is less painful and more informative.
It should also be noted that pain during cystoscopy can intensify if you conduct a study during an exacerbation. There are cases when other diagnostic methods simply do not work, and it is possible to diagnose a disease (for example, cystitis) only with the help of cystoscopy. Reviews of women about this are available.
Patients who had the Katedzhel gel anesthetized procedure noted that the effect of anesthesia in this case is, but not significant. According to patients, one of the most unpleasant moments of the procedure is the management of the instrument into the urethra. Further, when the doctor is already starting the examination, pain can be reduced if you relax the muscles as much as possible and do not strain.
The slightest tension will provoke a sharp pain. Removing the device does not cause discomfort. Another uncomfortable nuance is that the fluid injected into the bladder before the procedure is a medicinal composition. With this fluid you need to go about two hours, as much as possible. Women who underwent this procedure say that this is almost the most painful part of the study (everything is very individual here). After the manipulations, all patients noted significant discomfort during urination immediately after cystoscopy. But within a day everything should return to normal.
According to patients, a very large percentage of success falls on a positive attitude. During the procedure, you need to try to tune in to the best and relax. There are cases when, after the study, patients have a sharp cutting pain in the urethra for a long time, which does not even allow them to walk normally. In this case, you should consult a urologist.
Cystoscopy in men. Reviews
Patients focus on the qualifications of the doctor: if the procedure is carried out incorrectly and by an inexperienced doctor, then the risk of serious complications returning increases many times. Reviews of men are more restrained, but they also contain information about the painfulness of the procedure at the time of introduction of the tool. Pain is exacerbated by the fact that the urethra in men exceeds the length of the female by several times, which is the cause of the pain. Representatives of the strong half of humanity most often undergo cystoscopy using anesthesia. According to men, this is one of the most informative studies in the development of prostatitis, prostate adenoma and adenocarcinoma.
In general, there are only positive reviews about the effectiveness of the study, that is, the information content and accuracy of the results of this technique exceed the effectiveness of other diagnostic methods. On the advice of patients, after this study, you should drink as much fluid as possible to increase urine output, this will reduce the unpleasant symptoms that have arisen after the examination. Most patients note that itching and burning during urination persist for no more than 48 hours. In addition, traces of blood in the urine and pain symptoms in the lower abdomen may appear. This is also a variant of the norm in the first two days.
According to reviews, cystoscopy in Sechenovo in Moscow is carried out very professionally.
conclusions
It should be said that those patients who immediately underwent the surgical procedure (stones or polyp were removed) are also, as a rule, grateful to the doctors for the fact that the therapeutic procedure is carried out simultaneously with the diagnostic one. This eliminates the need to carry out it again. The doctors' comments about cystoscopy are all positive, they note that the high effectiveness of this method in the diagnosis of bladder diseases exceeds all other methods, and in certain cases it simply cannot be dispensed with.