Cystoscopy allows you to examine the inside of the bladder. This study is carried out in order to identify various kinds of anomalies in his condition, as well as infectious foci and inflammation. In this article, we will briefly talk about this procedure.
Feedback on cystoscopy will be presented at the end of the article.
Indications for conduction
This procedure is used when alternative diagnostics cannot detect small neoplasms, their distribution and characteristics. 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, it monitors the formation of stones in the bladder, the localization of inflammation or damaged areas.mucous.
Often a cystoscopy is prescribed for a child. Reviews abound on this.
It is carried out for such diseases as: interstitial cystitis, chronic cystitis, enuresis, suspicions of tumor processes and infections, prostatitis, adenoma, etc. If blood is found in the urine test, the doctor will definitely prescribe this study. Also, this procedure is necessary in case of difficulty urinating and with pain localized in the pelvic region. In addition, indications for the study is the presence of prostatic hyperplasia, blockage or narrowing of the ureters. Reviews of cystoscopy are of interest to many.
Contraindications
This procedure is contraindicated in diseases such as: acute inflammation of the bladder, infectious diseases of the urinary tract, orchitis, prostatitis in the acute stage. Also, cystoscopy is not prescribed for poor blood clotting. Many patients complain about the appearance of complications after cystoscopy performed during an exacerbation. Therefore, if you are scheduled for this procedure in an acute period, seek the advice of several specialists to rule out further problems.
Reviews on 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 their help is impossible. Cystoscopic examination in thisplan 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 blockages and narrowing of the paths, burn small sores. Reviews of bladder cystoscopy in women confirm this.
Preparing for the procedure
This procedure must be prepared 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 for the patient individually). The duration of the hunger strike depends on the complexion of the subject, his metabolism, and most importantly, on the type of anesthesia. In advance, it is worth considering clothes without a large number of buttons and ties. And also to carry out hygiene procedures immediately before the study and empty the bladder. Feedback on cystoscopy is mostly positive.
Carrying out the procedure
The study is carried out using a cystoscope, which resembles a tube, with a light attached to one end. The instrument is gradually inserted into the urethra. There are two types of cystoscopy: rigid and flexible (depending on the instruments used). With a hard type, a standard cystoscope is used, which allows you to examine the urinary tract and the bladder itself in detail and accurately. This is a rather painful procedure, which is why the patient is anesthetized before inserting the instrument (anesthesia can be spinal, local or general).
Exploration with flexible tube
This type of study involves the use of a flexible tube. Feelings from its use are not so painful. However, the data obtained as a result of the study is not so accurate. The choice of the type of research 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. Bladder cystoscopy in men is very effective according to reviews.
Duration
The urinary canal is filled with warm liquid, a cystoscope is inserted, and the doctor can examine the inside of the bladder. The examination itself lasts no more than ten minutes, and the entire procedure in complex 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 decision on the use of anesthesia is also made by the doctor, based on data from laboratory and instrumental studies. Insertion of the instrument through the urethra allows an assessment of the structure of all mucous membranes and an examination for blockage, trauma and other damage. 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.
Cystoscopy Reviews
Since the procedure is quite painful, most of the reviews refer specifically to pain. It must be said that all patients agree thatAn examination performed 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, it helps to avoid severe pain. In addition, patients note the quality of the equipment, paying attention to the fact that cystoscopy done in a big city, in a good clinic and with new equipment is less painful and more informative.
It should also be noted that pain during cystoscopy may increase if you conduct a study during an exacerbation. There are times when other diagnostic methods simply do not work, and a disease (for example, cystitis) can be diagnosed only with the help of cystoscopy. Feedback from women about this is available.
Patients who were anesthetized with the Cathejel gel note that the effect of anesthesia in this case is, but insignificant. According to patients, one of the most unpleasant moments of the procedure is the introduction of the instrument into the urethra. Further, when the doctor is already starting the examination, pain can be reduced by relaxing the muscles as much as possible and not straining.
The slightest tension will provoke a sharp pain. Removing the device does not cause discomfort. Another uncomfortable nuance is that the liquid pumped into the bladder before the procedure is a medicinal composition. With this liquid you need to walk for about two hours, maybe more. Women who have undergone this procedurethey say that this is perhaps the most painful part of the study (everything is very individual here). After the manipulations, all patients note significant discomfort during urination immediately after cystoscopy. But within a day everything should return to normal.
According to the testimony of patients, a very large percentage of success comes from a positive attitude. During the procedure, you need to try to tune in to the best and relax. It is not uncommon for patients to have acute cutting pain in the urethra for a long time after the study, 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 doctor's qualifications: if the procedure is performed incorrectly and by an inexperienced doctor, then the risk of serious complications returning increases many times over. Men's reviews are more restrained, but they also contain information about the pain of the procedure at the very moment the instrument is inserted. Pain is aggravated by the fact that the urethra in men exceeds the length of the female 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, the feedback on the effectiveness of the study is only positive, that is, the informativeness and accuracy of the results of this techniqueoutperforms other diagnostic methods. Patients are advised to drink as much liquid as possible after this examination in order 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 an operating procedure (stones or a polyp were removed) are also, as a rule, grateful to doctors for the fact that the therapeutic procedure is carried out simultaneously with the diagnostic one. This eliminates the need to repeat it. The doctors' comments on cystoscopy are all positive, they note that the high efficiency of this method in diagnosing bladder diseases surpasses all other methods, and in certain cases it is simply impossible to do without it.
