Can I be sedated for a flexible cystoscopy?

Flexible cystoscopy uses a fine flexible telescope and can be performed under local anaesthesia (using local anaesthetic gel inserted into the urethra) while the patient is wide awake. Patients can therefore drive themselves home. Flexible cystoscopy can also be performed in hospital with sedation.


What type of sedation is used for flexible cystoscopy?

Flexible cystoscopy is routinely done as an outpatient or day case under local anaesthesia. This means you will stay awake during the procedure. Your doctor will use anaesthetic gel to reduce feeling and lubricate the entrance to your urethra.

Can you be put to sleep for cystoscopy?

A rigid cystoscopy is where a cystoscope that does not bend is used. You're either put to sleep for the procedure or the lower half of your body is numbed while it's carried out.


How painful is a flexible cystoscopy?

Flexible Cystoscopy Procedure

Instillagel® is a local anaesthetic gel which is inserted into the urethra prior to the procedure. The procedure is quick and painless, although you may feel a slight pinch.

How can I make a cystoscopy less painful?

Meditation is one tool that can help with the pain or anxiety of a cystoscopy. With practice, you can learn to calm the mind and center yourself while the procedure is being performed. Some find breathing exercises tremendously helpful. Some listen to music or focus their attention on watching the monitor.


Is cystoscopy painful? | Everything you need to know about your cystoscopy procedure



How long does a flexi cystoscopy take?

The procedure lasts from 5 to 10 minutes. During the procedure you may feel as if you need to pass urine. Some patients may find the procedure uncomfortable, however we take as many precautions as possible to minimise any discomfort.

How do they numb your urethra for a cystoscopy?

During the procedure, your urologist will: use a local anesthetic (lidocaine jelly) to numb the area where the procedure will be done and wait a few minutes for the numbing gel to take effect. insert a small, flexible cystoscope into your urethra.

Are you unconscious for a cystoscopy?

General anesthesia: General anesthesia means you'll be unconscious during the cystoscopy. With general anesthesia, you may need to fast for several hours ahead of time.


How is local anesthesia given for a cystoscopy?

Your doctor puts an anesthetic gel into your urethra. This numbs the area so you have no discomfort. The gel feels cold and you may have a slight burning feeling. The doctor then inserts the cystoscope and tells you what he or she sees.

Can you ask for general anesthesia for cystoscopy?

A rigid cystoscopy is carried out under general anaesthetic (where you're asleep) or a spinal anaesthetic (which numbs the lower half of your body), so you will not have any pain while it's carried out. It's normal to have some discomfort when peeing after a cystoscopy, but this should pass in a few days.

Can I drive home after flexible cystoscopy?

You can go home once you're feeling better and you've emptied your bladder. Most people leave hospital the same day, but sometimes an overnight stay might be needed. You'll need to arrange for someone to take you home as you will not be able to drive for at least 24 hours.


Do they put a catheter in during anesthesia?

A patient who's been anesthetized with general anesthesia isn't able to control their urination. Because of this, the surgical team will usually place a Foley catheter before performing the procedure. This ensures that the bladder stays empty and the operation is clean and sterile.

Do you pee when under anesthesia?

General anesthesia paralyzes the bladder muscles. This can make it not only hard to pee, but impact your ability to recognize you have to urinate altogether. Additionally, many surgeries involve the placement of a Foley catheter—a tube put in the body to drain urine from the bladder.

Is cystoscopy very painful?

Your doctor may also perform a cystoscopy to treat some urinary tract conditions. A cystoscopy can be uncomfortable, but shouldn't be painful.


How long are you in hospital for a cystoscopy?

After a rigid cystoscopy

Most people leave hospital the same day, but sometimes an overnight stay might be needed. You'll need to arrange for someone to take you home as you will not be able to drive for at least 24 hours.

Can I avoid cystoscopy?

For the majority of men, cystoscopy for the investigation of LUTS can be avoided. The data suggest there is really only a need for cystoscopy in men with LUTS to exclude suspected bladder or urethral pathology and/or before minimally invasive surgical therapies if the findings may change treatment.

Is there a prep for a cystoscopy?

Preparation for Cystoscopy

There is no “prep” required. There is no need to come in with a full bladder. We will ask you to empty the bladder prior to the procedure. You may eat before your visit.


Do you need to shave before a cystoscopy?

√ If you are having a flexible cystoscopy, you do not need to shave.

Do you get cystoscopy results right away?

You should get your results within 1 or 2 weeks at a follow up appointment.

Which is better flexible or rigid cystoscopy?

Cystoscopy is a commonly performed routine outpatient procedure and an essential diagnostic tool in urology. Compared with flexible endoscopes, rigid instruments offer better image quality, a wider lumen of the working channel, improved irrigant flow and superior handiness.


How do they wake you up from anesthesia?

If you're having general anesthesia, an anesthesiologist will give you medications that make you lose consciousness. After the surgery is complete, he or she will reverse the medication so that you regain consciousness — but you won't be wide awake right away.

Do they drain your bladder before surgery?

Urinary catheters are often used during surgery, as you can't control your bladder while under anesthesia. For this purpose, a foley catheter is typically placed prior to surgery and keeps the bladder empty throughout.

What happens if you stop breathing during anesthesia?

When anoxia occurs, there are several complications that have the potential to arise. Some of these complications include mental confusion, amnesia, hallucinations, memory loss, personality changes, and more. The patient may also be in a vegetative state or may suffer from cardiac arrest.


How do they numb you for a catheter?

A local anesthetic is medication used to make an area of your body numb. With a continuous nerve block, the local anesthetic is given through a catheter (a thin, flexible tube) connected to a medication pump.

Does your heart stop when you're under anesthesia?

Yes, but serious complications with general anesthesia are rare. Patients are screened before surgery for medical conditions that may increase their risk, so be sure to tell your doctor about all your medications and health problems.