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Cystoscopy is performed with a cystoscope -- a specialized tube with a small camera on the end (endoscope). There are two types of cystoscopes:
Standard, rigid cystoscope
Flexible cystoscope
The way the cystoscope is inserted varies, but the test is the same. Which cystoscope your doctor uses depends on the purpose of the exam.
If the standard rigid cystoscope is used, you will lie on your back with your knees up and apart. If a flexible cystoscope is used, this position will not be necessary.
The procedure usually takes 5 - 20 minutes. The urethra is cleansed. A local anesthetic is applied. The scope is then inserted through the urethra into the bladder.
Water or salt water (saline) is injected through the cystoscope to fill the bladder. As this occurs, you will be asked to describe the feeling. Your answer will reveal information about your condition.
As fluid fills the bladder, it stretches the bladder wall. This lets your health care provider see the entire bladder wall. You will feel the need to urinate when the bladder is full. However, it must remain full until the examination is complete.

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Cystoscopy begins with the nurse who squirts a local anesthetic in the end of your penis. The doctor puts the end of the scope into that end of your penis and pushes it into the bladder. The scope is about the size of a pen. You better relax as it passes through the prostrate cause it is tight and hurts a bit. Then the doctor twists and turns as he looks at your innards, zooming here and there. Afterwards, you will feel a little uncomfortable so drink lots of water to flush the system and put out the fire! Hope everything is good news:) for you and your family.
by TPCASSC June 22, 2010
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