Cystoscopy
What is Cystoscopy ?
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Why do you need Cystoscopy?
Cystoscopy is indicated for:
- Diagnostic purposes:
- Hematuria (blood in urine; 10–20% of cases due to bladder cancer).
- Recurrent urinary tract infections (UTIs; to identify anatomical causes).
- Suspected bladder cancer (e.g., abnormal urine cytology; related to your TURBT and cystectomy queries).
- Bladder stones, strictures, or interstitial cystitis (chronic bladder pain).
- Therapeutic purposes:
- Biopsy of suspicious lesions (e.g., for cancer staging).
- Removal of small bladder tumors or stones (similar to TURBT).
- Stent placement (e.g., ureteral stents for obstruction).
- Associated conditions:
- Often part of workup for prostate issues (e.g., BPH, as in your prostatectomy query).
- May precede more invasive procedures like TURBT or cystectomy.
- Timing:
- Performed in adults (average age 40–70 years for bladder issues); urgency depends on symptoms (e.g., immediate for gross hematuria).
The procedure aims to diagnose or treat bladder conditions, guide further management, and monitor recurrence (e.g., in bladder cancer), often as an outpatient procedure with minimal downtime.
Why Do Costs Vary in Philippines?
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Cystoscopy Procedure
- Before Procedure Evaluation:
- Assessment:
- Urine test: Checks for infection (UTI must be treated first); urine cytology for cancer cells.
- Imaging: Ultrasound/CT if needed to evaluate kidneys/ureters.
- Blood tests: Blood sugar, clotting profile (if biopsy planned).
- Preparation: Empty bladder; antibiotics if infection risk; stop blood thinners (e.g., aspirin) if biopsy expected.
- Consent: Risks, including discomfort, are explained.
- Assessment:
- Procedure Technique:
- Cystoscopy:
- Performed under local anesthesia (lidocaine gel in urethra) for diagnostic cases, or general/spinal anesthesia for therapeutic cases (e.g., biopsy); lasts 5–30 minutes.
- Types:
- Flexible cystoscopy: Uses a bendable scope; for diagnostic purposes; more comfortable.
- Rigid cystoscopy: Uses a straight scope; for therapeutic procedures (e.g., biopsy, tumor removal).
- Process:
- Patient lies on back; urethra cleaned with antiseptic.
- Cystoscope inserted through urethra into bladder; saline infused to expand bladder for better visualization.
- Urethra and bladder inspected; abnormalities (e.g., tumors, stones) noted.
- Interventions (if needed): Biopsy, small tumor resection (like TURBT), or stent placement.
- Completion: Scope removed; patient urinates to clear saline.
- Intraoperative Tools:
- Cystoscope: Camera and light to visualize bladder.
- Biopsy forceps: Takes tissue samples.
- Blue light cystoscopy (if available): Uses fluorescence to detect carcinoma in situ (CIS).
- Cystoscopy:
- After Procedure:
- Hospital stay: Outpatient (30 minutes to 1 hour recovery); inpatient if under general anesthesia (1 day).
- Care: Drink plenty of water to flush bladder; expect mild burning during urination for 1–2 days.
- Pain management: Mild discomfort; managed with painkillers (e.g., paracetamol) if needed.
- Instructions: Avoid strenuous activity for 1–2 days; monitor for signs of infection.
Recovery After Cystoscopy
- Recovery Time: Same-day discharge (outpatient); 1 day if under general anesthesia.
- Post-Procedure Care:
- Discomfort: Mild burning or urgency during urination for 1–2 days; resolves spontaneously.
- Activity: Resume normal activities within 1–2 days; avoid heavy lifting for 1–2 days.
- Urine: Blood-tinged urine (hematuria) for 1–2 days; clears with hydration.
- Results: Biopsy results (if taken) available in 5–7 days; guides further treatment (e.g., TURBT, cystectomy).
- Follow-Up:
- Visit at 1 week if biopsy performed or further treatment planned.
- Cystoscopy (repeat): Every 3–6 months for bladder cancer surveillance (30–50% recurrence rate for NMIBC).
Most resume normal activities within 1–2 days; full recovery from discomfort takes 2–3 days. Success rate: Diagnostic accuracy is 90–95%; therapeutic success (e.g., stent placement) is 80–90%.
Risks and Complications
- Procedure Risks:
- Discomfort (20–30%): Burning or urgency during urination; resolves in 1–2 days.
- Bleeding (5–10%): Mild hematuria; usually self-limiting.
- Anesthesia risks (<1%): Reaction to anesthesia (if general); rare in healthy patients.
- Post-Procedure:
- UTI (2–5%): Risk of infection; managed with antibiotics; prevented with pre-op urine test.
- Urethral injury (1–2%): From scope insertion; rare with experienced urologists; may cause temporary leakage.
- Bladder perforation (<1%): During biopsy or resection; may need catheter or surgery (rare).
- Stricture (1% long-term): Urethral narrowing; may need dilation.
- Long-Term:
- Recurrence (if cancer): 30–50% for NMIBC; needs regular cystoscopy surveillance.
Report fever, severe pain, heavy bleeding, or inability to urinate promptly.
Frequently Asked Questions (FAQs)
What causes the need for cystoscopy?
Hematuria, recurrent UTIs, suspected bladder cancer, or monitoring after bladder cancer treatment.
Can I avoid cystoscopy?
Yes, if mild symptoms: Imaging (ultrasound/CT) or urine tests may suffice; cystoscopy needed for definitive diagnosis (e.g., cancer).
Is cystoscopy painful?
Mild discomfort during and after (1–2 days); local anesthesia minimizes pain; resolves quickly.
How soon can I resume normal activities?
Normal activities: 1–2 days; full recovery from discomfort: 2–3 days; avoid strenuous activity for 1–2 days.
Is cystoscopy covered by insurance in India?
Often covered (diagnostic necessity); confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Fever, severe pain, heavy bleeding, or inability to urinate.
Will I need repeat cystoscopies?
Likely, if cancer: Every 3–6 months for surveillance (30–50% recurrence risk for NMIBC).
Lifestyle changes post-procedure?
Hydrate well, monitor for infection, and attend follow-ups if cancer surveillance needed.
Conclusion
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Looking for Best Hospitals for Cystoscopy
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.