BackTable / Urology / Topic / Procedure

Cystoscopy

The goal of a cystoscopy, or cystourethroscopy, is to obtain a direct view of the urethra, urethral sphincter, prostate, bladder, and ureteral orifices. Rigid cystoscopes have large channels and can be used along with a wide variety of instruments. Additionally, rigid cystoscopes provide greater optical clarity. Flexible cystoscopes are smaller and can be easily passed when the patient is in the supine position. Flexible scopes also allow for easier navigation around the bladder neck and median lobe of the prostate.

Cystoscopy Procedure Prep

Learn more on the BackTable Urology Podcast

BackTable is a knowledge resource for physicians by physicians. Get practical advice on Cystoscopy and how to build your practice by listening to the BackTable Urology Podcast, reading exclusing BackTable Articles, and following the work of our Contributors.

Ep 46 Techniques & Maneuvers for Optimal TURBT with Dr. Sam Chang
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Cystoscopy Approach

Once it is inserted using a sheath obturator, the cystoscope is directed anteriorly as it moves towards the bladder. While advancing the cystoscope, the operator evaluates the lower urinary tract, penile urethra, and bulbar urethra for signs of structure. The verumontanum and utricle can be identified when the scope reaches the prostatic urethra. The bladder, excluding the floor and trigone, are inspected for bladder stones, bladder lesions, erythematous patches, and other abnormalities. The bladder is drained through a catheter before the cystoscope is removed. Complications of a cystourethroscopy include urinary tract infection, hematuria, and dysuria.

Cystoscopy Podcasts

Listen to leading physicians discuss cystoscopy on the BackTable Urology Podcast. Get tips, tricks, and expert guidance from your peers and level up your practice.

Episode #57

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In this episode of BackTable Urology, Dr. Aditya Bagrodia speaks with urologist Dr. Anne Schuckman from the University of Southern California about advantages and advice for blue light cystoscopy, a procedure performed to identify bladder tumors during transurethral resection of bladder tumor (TURBT).

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Episode #50

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In this episode of BackTable Urology, Dr. Silva interviews Dr. Katie Murray, a urologic oncologist from the University of Missouri, about management of high and low-grade upper tract urothelial cancer.

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Episode #46

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In this episode of BackTable Urology, Dr. Aditya Bagrodia interviews Dr. Sam Chang, chief of urologic oncology at Vanderbilt University, about surgical tips and tricks for intermediate and high risk bladder cancer.

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Episode #12

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We talk with Dr. Yahir Santiago-Lastra, director of the Women's Pelvic Medicine Center at UC San Diego Health about the management of cystitis and pelvic pain syndromes. She shares her insights on genitourinary syndrome of menopause, pain evaulation and treatment, and procedural options including botox and sacral neuromodulation.

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Episode #11

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Dr. Aditya Bagrodia interviews urologist Dr. Steve Hudak from UT Southwestern Medical Center about post-prostatectomy incontinence. They cover an array of topics including, incontinence evaluation, managing patient expectations, kegel exercises and pelvic floor therapy, and slings vs. artificial urinary sphincters.

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Episode #4

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Dr. Jose Silva talks with Urologist Dr. Yahir Santiago from UC San Diego Medical Center about the diagnosis and treatment of pelvic floor dysfunction in women.

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Episode #2

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Dr. Jose Silva talks with Urologist Dr. Aditya Bagrodia from UT Southwestern Medical Center about the medical and surgical management of bladder cancer.

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Cystoscopy Indications

Cystoscopy is utilized when patients experience gross or microscopic hematuria, malignancy, lower urinary tract symptoms (LUTS), or trauma to the lower urinary tract. Patients with a history of malignancy are evaluated for urethral, bladder, or upper tract UCC malignancy on a surveillance basis. Lower urinary tract symptoms include obstructive voiding symptoms, irritative voiding symptoms, chronic pelvic pain syndrome, recurrent urinary tract infections, and urinary incontinence. Bladder abnormalities discovered in prior imaging may indicate the need for a cystoscopy and can lead to the removal of a foreign body, such as a stent, if necessary. In order to prevent the risk of sepsis, a cystoscopy should not be performed if the patient has a urinary tract infection.

Cystoscopy Articles

Read our exclusive BackTable Urology Articles for quick insights on cystoscopy, provided by physicians for physicians.

Blue light cystoscopy screening for bladder cancer recurrence

Blue light cystoscopy is useful in managing bladder cancer, both for complete tumor resection in the OR and as routine surveillance office cystoscopy to monitor bladder cancer recurrence.

References

[1] Engelsgjerd, J. S., & Deibert, C. M. (2021, April 20). Cystoscopy. StatPearls [Internet]. Retrieved September 19, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK493180/

Disclaimer: The Materials available on https://www.BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Podcasts

Blue Light Cystoscopy: Who, When, and How? with Dr. Anne Schuckman on the BackTable Urology Podcast)
Techniques & Maneuvers for Optimal TURBT with Dr. Sam Chang on the BackTable Urology Podcast)
Management of Cystitis & Pelvic Pain Syndrome with Dr. Yahir Santiago-Lastra and Dr. Jose Silva on the BackTable Urology Podcast)
Evaluation & Management of Post-Prostatectomy Incontinence with Dr. Steve Hudak and Dr. Aditya Bagrodia on the BackTable Urology Podcast)
Management of Pelvic Floor Dysfunction with Dr. Yahir Santiago-Lastra and Dr. Jose Silva on the BackTable Urology Podcast)
Breaking Down Upper Tract Malignancy with Dr. Katie Murray on the BackTable Urology Podcast)

Articles

Blue light cystoscopy screening for bladder cancer recurrence

Blue Light Cystoscopy in Bladder Cancer

Contributors

Dr. Aditya Bagrodia on the BackTable Urology Podcast

Dr. Aditya Bagrodia

Dr. Sam Chang on the BackTable Urology Podcast

Dr. Sam Chang

Dr. Steve Hudak on the BackTable Urology Podcast

Dr. Steve Hudak

Dr. Katie Murray on the BackTable Urology Podcast

Dr. Katie Murray

Dr. Yahir Santiago-Lastra on the BackTable Urology Podcast

Dr. Yahir Santiago-Lastra

Dr. Anne Schuckman on the BackTable Urology Podcast

Dr. Anne Schuckman

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