Decoding Cystoscopy & Ureteroscopy: Managing Discomfort and Potential Effects on Incontinence

Cystoscopy and ureteroscopy are common procedures performed by urologists to take a closer look at the urinary tract. These procedures are helpful for diagnosing and treating issues related to the bladder, urethra, kidneys, and ureters.

What is a cystoscopy? 

A cystoscopy involves using a small tube, called a cystoscope to examine the urethra and bladder. The procedure is quick, usually lasting between 5 to 30 minutes, depending on whether sedation or anesthesia is used. 

What is a ureteroscopy?

A ureteroscopy uses a ureteroscope to look inside the ureters and kidneys. This procedure typically lasts between 30 minutes and a couple of hours. However, if additional treatment is required, the procedure may require an overnight hospital stay.  

When is a cystoscopy needed?

Urologists may recommend a cystoscopy to investigate the cause of incontinence or other urinary issues, such as: 

  • Frequent urinary tract infections 
  • Blood in the urine (hematuria)
  • Urinary retention
  • Difficulty urinating or pain during urination 
  • Finding abnormal cells in urine samples 

During the cystoscopy procedure, the urologist can spot stones, any abnormal tissue or tutors, stricture, and other abnormalities. They can also treat certain conditions by:

  • Removing a bladder or urethral stone 
  • Remove or treat abnormal tissue and tumors
  • Treat urinary leakage or prevent vesicoureteral reflux
  • Gather urine samples from the ureters

Cystoscopy for incontinence 

For patients dealing with incontinence, a cystoscopy can help doctors examine the bladder and urethra more clearly. This allows them to identify potential causes, such as bladder stones, tumors, or an enlarged prostate. Urologists are also able to treat the bladder wall and remove any abnormal tissue.

When is a ureteroscopy necessary?

Urologists perform ureteroscopy to investigate urine blockages in the ureters, or to look for other issues in the ureters or kidneys. During the procedure, they can:

  • Spot stones or abnormal tissue 
  • Remove stones from the ureters or kidneys 
  • Treat abnormal tissue 
  • Take samples of the ureter or kidney tissue 

Recovering after a cystoscopy and ureteroscopy 

Most patients can go home on the same day as the procedure, depending on the type of anesthesia used. Before you leave, your medical team will ask you to use the restroom to ensure you can urinate comfortably. They will also provide guidance on rest, driving, and which physical activities to avoid while recovering.

After the procedure, you might experience some mild symptoms, which can include: 

  • A slight burning sensation when urinating
  • Small amounts of blood in your urine 
  • Mild discomfort around the bladder or kidney area
  • Increased urgency or frequency of urination

These symptoms typically subside within 24 hours. However, if you experience severe bleeding, pain, or if symptoms persist beyond a day, reach out to your healthcare provider right away.

Post-procedure Care Tips 

Your healthcare provider might recommend a few simple steps to help you feel more comfortable after your procedure. They may recommend to:

  • Drink water regularly for the first few hours 
  • Take a warm bath to soothe any burning sensations 
  • Use a warm, damp washcloth on the urethral opening if you’re feeling discomfort
  • Consider over-the-counter pain relief if needed

Find Relief with Incontinence Institute

Cystoscopy and ureteroscopy are valuable procedures that help urologists diagnose and treat a variety of urinary tract issues. While the procedures are generally quick and straightforward, it’s important to understand what to expect during recovery and how to manage any discomfort. If you’re experiencing symptoms of incontinence and want to explore these procedures, don’t hesitate to contact our team.

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