Cystoscopy and ureteroscopy are therapeutic and diagnostic procedures typically performed by doctors who specialize in urinary tract diseases, commonly known as urologists. During the process of cystoscopy and ureteroscopy, the endoscopes peek further into the organs, and the aim is to provide a clear view of the inside of the ureters and bladder to diagnose (and often treat) urinary problems.
Cystoscopy
Cystoscopy is a procedure that requires the use of a long, thin optical device, or a cystoscope, with an eyepiece and a tiny lighted lens on either end of the device. The tube can be flexible or rigid depending if it is for treatment or diagnosis. Furthermore, the cystoscope transmits detailed and clear images of the urethra and the mucous membrane lining of the urinary bladder.
This procedure identifies the causes of the following conditions:
- Hematuria
- Atypical cells usually found on urinalysis
- Dysuria
- Chronic urinary tract infections
- Urinary frequency
- Urinary incontinence
- Urinary urgency
- Difficulty completing or initiating urination
- Urinary retention after voiding
Ureteroscopy
Ureteroscopy is a procedure that involves inserting a ureteroscope through the urethral openings into where the ureters connect with the bladder. This is identical to a cystoscope but is thinner and longer. Moreover, it would then enable the urologist to look inside the kidneys and ureters.
This procedure aids in:
- Examining the cause of the patients’ urinary obstruction like tumors or stones;
- Evaluating abnormalities in the ureters or kidneys; and
- Conducting biopsy on the ureter or kidney to further analyze tissue samples.
If the ureter swells after the procedure, a small soft tube or stent is inserted inside the ureter to let the urine flow while the swelling goes down. A cystoscopy procedure may then remove the stent tube.
Side effects of getting these procedures:
After undergoing these procedures, you may feel some pain or discomfort. These may include:
- Mild stinging in the bladder or kidney area during urination
- Blood traces in the urine
- Frequent and urgent urination
For tenderness and aching relief, you may use a warm, damp soft cloth on the lower abdomen as a hot compress, and drink a lot of fluid for more than two hours after the procedure as a simple remedy.
