cystosc what to expect when i take my catheter out

Cystoscopy

A cystoscopy is a examination to look at the inside of your float and tube that carries urine from your bladder out of your body (urethra). It uses a thin tube called a cystoscope.

There are unlike types of cystoscopies:

• flexible cystoscopy
• rigid cystoscopy
• blue calorie-free cystoscopy or photodynamic diagnosis (PDD)

Your doctor volition hash out with yous if yous're having a flexible or rigid cystoscopy.

Flexible cystoscopy

The flexible cystoscope has optic fibres within it, a lite and camera attached to it. Considering information technology's flexible information technology tin bend around the tubes as it passes through your urethra. This is generally done nether local anaesthetic. So you're awake for this test.

Y'all commonly accept a flexible cystoscopy if your doctor just wants to look inside your bladder to examine your bladder and find out what is causing your symptoms.

A flexible cystoscopy in a man

A flexible cystoscopy in a woman

Rigid cystoscopy

The rigid cystoscopy uses a difficult straight tube. It also has a light and camera attached to it. Because it's not flexible you usually have a rigid cystoscopy under general anaesthetic. And then you're asleep for this exam.

You might take a rigid cystoscopy if you take biopsies taken or need handling for a problem with your bladder.

A rigid cystoscopy in a women

A rigid cystoscopy in a homo

The camera is linked to a TV monitor so you may exist able to sentinel the process.

If necessary, the doctor tin pass small instruments down the cystoscope to take samples of tissue (biopsies) from the float lining.

Blue calorie-free cystoscopy or Photodynamic diagnosis (PDD)

This is some other type of cystoscopy using a blueish light instead of a white light to pick up bladder cancer. You usually have it under full general anaesthetic.

To have the test your physician puts a thin tube (catheter) into your float. They so put a fluorescent dye called hexyl aminolevulinate (HAL) through the tube.

The dye stays in for an hour earlier your cystoscopy. And so your doctor puts the flexible cystoscope into your bladder. This has a camera and blue light. Any cancer cells absorb the dye and glow cherry-red or pink when the blue light is shone on them. This makes them easier to encounter.

Why you might have a cystoscopy

You may have this exam if you lot're:

• passing blood when you wee
• having problems passing urine including being unable to empty your float properly (retention), you're unable to control when you need to wee (incontinence) or going more oftentimes than usual

This is the most important test for diagnosing cancer of the bladder. Also as examining the bladder your doctor can accept samples of the float lining (biopsies) to check for cancer cells.

Other reasons you might have a cystoscopy is to check:

• whether your cancer has come back
• for spread from another type of cancer

What happens

This test takes nearly 10 minutes. You unremarkably take it at a hospital as an outpatient.

You can consume and drinkable normally beforehand.

A doc or nurse will explain the procedure and enquire you to sign a consent form. This is a proficient time to enquire any questions y'all may take.

Before you have the test the nurse will ask you to empty your bladder (have a wee). They may as well ask you to give a urine sample to check for an infection.

Y'all undress from the waist down and put a hospital gown on. You lie on your back on the bed or burrow.

The doc places a sterile sheet over yous. They clean the area and squeeze some anaesthetic jelly into the tube where your urine comes out (urethra). This makes the area numb. In men, this means squeezing the jelly down the penis. This doesn't injure but can feel uncomfortable.

Once the local anaesthetic is working, the doctor gently passes the cystoscope into your bladder.

In men, they may enquire y'all to attempt an laissez passer urine so the cystoscope passes the musculus clamp (sphincter) in the urethra. Or they may ask you to cough. It helps the doctor pass the tube more easily, don't worry yous won't actually laissez passer urine. Only you lot may feel some stinging when it passes this point.

Once in the bladder, they fill it with sterile water. Yous may feel like you demand to go to the toilet.

Then the doctor moves the tube around so they can look at the inner surface of the whole of the within of your bladder.

They may accept some samples of your bladder tissue (biopsies) or they may remove small-scale float growths.

At the stop of the test, you lot'll want to go to the toilet.

You lot have this test at the hospital in the 24-hour interval surgery unit.

Before the test

You're usually seen in the pre-cess clinic by a nurse a calendar week or two beforehand.

They'll take some measurements (weight, temperature, heart and breathing rate, oxygen levels and your claret pressure).

You may take some blood tests and other tests such as a breast x-ray. This is routine for anyone having a general anaesthetic.

At this appointment, they volition requite you instructions about the examination and what to bring on the solar day. Information technology's a good idea to bring an overnight pocketbook. They'll likewise tell you lot when to cease eating and drinking. This is unremarkably half dozen hours before yous have this test.

They'll enquire y'all about whatever regular medication you lot're on and what yous tin take on the day. They'll also want you lot to bring them in on the twenty-four hours of the procedure.

On the solar day

On the 24-hour interval of your test you'll see the doctor who will explain the procedure and ask y'all to sign a consent form. This is a adept fourth dimension for you lot to ask any questions.

You'll besides see your anaesthetist who volition get you lot to sleep and look later on you while you're asleep.

Before the test, the nurse will ask you to empty your bladder. They may also inquire y'all to give a urine sample to check for whatsoever infection.

You lot usually accept a small tube put into your vein (cannula) before y'all have the anaesthetic. This is and so they can give you medicines directly into your vein. Most hospitals too give yous an injection of antibiotics earlier the exam.

You modify into a hospital gown. Once they're ready they'll ask you to lie downwards on the theatre trolley. The trolley is wheeled down to the operating theatre, where you have the anaesthetic.

In some hospitals, instead of a general anaesthetic, you may take a spinal anaesthetic. The anaesthetist puts an injection into your spine (epidural) so that you lot cannot feel annihilation from beneath your waist. This means you lot would exist awake for the examination.

Once you are asleep the doc gently passes the cystoscope into your float through your urethra.

They then fill your float with sterile h2o. And take a wait at the within of your float and urethra using the cystoscope.

If they need to they will accept samples of tissue (biopsies) from whatsoever areas that await abnormal. Your doctor may also take biopsies from areas of bladder lining that look normal. This helps to make sure of the diagnosis. The biopsied areas are sealed with a hot probe subsequently (cauterised) to assist stop any bleeding.

After the test

Yous go to a recovery area to rest after an anaesthetic. Your nurse monitors you. They offering y'all a snack and potable when you are ready. You lot might be in recovery area for a couple of hours.

You tin unremarkably go home the same solar day. one time y'all've passed urine successfully, simply this volition depend on:

• how many biopsies were taken
• how you react to the anaesthetic
• the time of day you have the anaesthetic – if it is very late in the 24-hour interval, it may be better for you to stay overnight

If there are large tumours which need treatment, you will demand to stay longer and you may need a catheter (a tube into the bladder to drain urine) for a few days later the operation.

As you're having a general anaesthetic you'll need someone with you and so they tin accept you home and stay with you lot overnight. Also for 24 hours afterwards you shouldn't drive, drink alcohol, operate heavy machinery or sign any legally bounden documents.

This video shows you what happens when you have a cystoscopy, information technology lasts for 1 minute 41 seconds

Transcript

A cystoscopy is a test to look at the within of your bladder. The float stores urine and when nosotros empty it the urine passes from the float down a tube chosen the urethra and out of the body.

The urethra in men passes through the prostate gland and downwards the penis.

In women the urethra is much shorter and passes from the bladder downwardly to an opening only in front of the vagina.

You accept the test lying on your back on a couch. The medico cleans around the opening to the float.

Then they put anaesthetic jelly into the tube where urine comes out. This doesn't hurt only tin can be uncomfortable.

Once the anaesthetic has worked they put a long flexible tube called a cystoscope into the opening and up into the bladder.

You may detect this uncomfortable and feel like you lot need to pass urine. The doctor puts water in through the scope to brand it easier to see the bladder wall

The tube has a light and a camera on the stop. This sends pictures to a monitor.

Possible risks

Most people exercise not have problems after having a cystoscopy but as with any medical procedure, there are possible risks.

Yous might have mild burning or stinging when y'all pass urine. It may also look slightly blood stained for a day or two. Drinking plenty should assistance with this. They will ask you lot to drink twice as much as you usually drink for the first 24 - 48 hours.

Y'all should contact the infirmary or your GP immediately if:

• y'all're however bleeding 48 hours subsequently your test
• the bleeding is getting worse
• there are blood clots in your urine
• yous accept severe hurting when passing urine

There is a pocket-size risk of infection. Symptoms tin can include:

• going to the toilet more often
• called-for and stinging when passing urine
• high temperature
• feeling hot and cold or shivery
• cloudy or offensive smelling urine
• generally feeling unwell

If you lot think you have an infection, you should go to your GP. They can prescribe antibiotics to care for the infection.

Rarely, you may take difficulty passing urine later cystoscopy. If this happens, you may need a catheter for a short time. At that place is likewise a chance of delayed haemorrhage and damage to the bladder wall or urethra.

Getting your results

You should get your results within 1 or 2 weeks at a follow up date.

Waiting for test results tin can be a very worrying fourth dimension. You might take contact details for a specialist nurse who you lot can contact for information if you demand to. Information technology can help to talk to a shut friend or relative about how you lot feel.

Yous tin also contact the Cancer Research U.k. nurses on freephone 0808 800 4040 for information and support. The lines are open from 9am to 5pm, Monday to Friday.

Contact the doctor who arranged the test if you oasis't heard annihilation after a couple of weeks.

More than data

We have more information on tests, treatment and support if you take been diagnosed with cancer.

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Source: https://www.cancerresearchuk.org/about-cancer/cancer-in-general/tests/cystoscopy

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