Cystoscopy for Diagnosis of Urinary and Bladder Problems
What are the Reasons for Cystoscopy?
Cystoscopy is performed to investigate the underlying cause of the urinary signs and symptoms you are experiencing. These include things such as blood in the urine, painful urination, an overactive bladder, and incontinence (leaking of urine).
One of the most common reasons for cystoscopy is to identify the cause of frequent urinary tract infections. However, the procedure cannot be performed if there is an active ongoing infection. A UTI must be cleared with antibiotics before cystoscopy is attempted.
Cystoscopy is also used to diagnose diseases of the urinary bladder such as inflammation (cystitis), tumors including bladder cancer, polyps, stones, and ulcers. Congenital anomalies (structural abnormalities present since birth) can be evaluated with cystoscopy. In women, prolapse (slipping down) of the pelvic organs can be diagnosed. In men, if a narrowing of the urethra is noted as it passes through the prostate gland, this can be diagnostic of BPH (benign prostatic hyperplasia) or an enlarged prostate.
Besides diagnosis, cystoscopy can be used to treat certain conditions. For example, it may be possible to remove a bladder tumor or growth by passing surgical tools through the cystoscope, thus precluding the need for more extensive surgery.
Many urological procedures include cystoscopy as part of the procedure. These include:
- Transurethral resection of bladder tumor (TURBT)
- Transurethral resection/ablation/enucleation of prostate (TURP, PVP).
- Ureteroscopy to evaluate the ureters and kidney and to break kidney stones
- Urolift procedure for enlarged prostate
- Botox administration in the bladder for treatment of OAB (overactive bladder)
Dr. Alex Shteynshlyuger is a board certified urologist in NYC who specializes in treating some of the most complex urology problems.