Cystoscopy and injections of bulking material at the bladder opening

What is this?

This involves telescopic examination of the urethra and bladder and injection of collagen or silicone around the urethral sphincter to add bulk for urinary control

What alternatives are there?

Observation, drugs, physiotherapy, pads, colposuspension, slings, artificial urinary sphincter.

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Either a full general anaesthetic (where you will be asleep throughout the procedure) or a spinal anaesthetic (where you are awake but unable to feel anything from the waist down) will be used. All methods minimise pain; your anaesthetist will explain the pros and cons of each type of anaesthetic to you.

After the procedure

The average hospital stay is 2 days. A catheter will be placed in the bladder overnight following surgery. In men, a suprapubic catheter may be required (inserted into the bladder through the lower abdomen).

Potential side effects

Common;

Occasional;

Rare;