Cystoscopy & hydrodistension of the bladder

What is this?

This procedure involves telescopic inspection of the bladder, over-distension of the bladder and possible bladder biopsy or removal of abnormal areas using heat diathermy

What alternatives are there?

Various medications taken orally or instilled into bladder, augmentation (enlargement) of the bladder with intestine, observation.

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. You will usually be given injectable antibiotics before the procedure, after checking for any allergies. A telescope is inserted through the water pipe (urethra) to inspect both the urethra itself and the whole lining of the bladder. The capacity of the bladder when full is measured and the bladder is then stretched gently with fluid, under slight pressure, to increase its capacity.

After the procedure

A catheter will normally be inserted into the bladder after this. Once your urine is clear, the catheter will be removed. You will normally be allowed home once you have passed urine satisfactorily. The average hospital stay is 3 days.

Potential side effects

Common;

Occasional;

Rare;