What type of sedation is used for flexible cystoscopy?

You will have local anesthetic, light sedation or general anesthetic for the procedure. Your doctor will tell you what you are having during your planning appointment: If you are having a local anesthetic: You are awake during the procedure.

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.

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 do they numb you for a cystoscopy?

For a rigid cystoscopy: you're given an injection of general anaesthetic (which makes you fall asleep) into your hand, or a spinal anaesthetic (which numbs the lower half of your body) into your lower back.

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.

Flexible Cystoscope

Can you be put to sleep for a cystoscopy?

Cystoscopy is typically performed in an outpatient setting, using a local anesthetic to numb your urethra. If needed, it can also be performed under sedation. Cystoscopy may also be performed in the hospital under general anesthesia.

How can I make a cystoscopy less painful?

Apply a numbing gel (Lidocaine) to your urethra to reduce any discomfort or pain (in case of flexible cystoscopy) or administer anesthetic (local or general) for sedation (in case of rigid cystoscopy).

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.

How will I feel after a flexible cystoscopy?

After effects of a cystoscopy

After a cystoscopy, it's normal to have: a burning or stinging sensation when peeing. some blood in your pee, which may turn it slightly pink. a need to pee more often than usual.

What not to do after cystoscopy?

Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay. Ask your doctor when you can drive again. Most people are able to return to work within 1 or 2 days after the procedure. You may shower and take baths as usual.

Can you feel sick after a cystoscopy?

Care after a cystoscopy

You might feel tired and sick after a cystoscopy. You might feel some pain in your groin. You might also feel a burning sensation when you pass urine. You might see some blood in your urine.

Does numbing gel work for cystoscopy?

The use of lidocaine gel during diagnostic flexible cystoscopy in women is based on surgeon preference and experience, and use of either plain or anesthetic gel, is currently acceptable clinical practice.

Do they give pain meds for cystoscopy?

You may take an over the counter Tylenol (acetaminophen) or ibuprofen prior to the study if you'd like. Most people do not need any pain medication.

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.

Do you need an IV for a cystoscopy?

The IV is used to give you fluid and medications. If you going to the Cystoscopy Room: You do not have any special preparation or IV. You may see a small amount of blood in your urine and have a burning feeling when you pass urine.

What medication is given after a cystoscopy?

Acetaminophen (Tylenol) 325 mg, one to two tablets every 6 hours, or ibuprofen (e.g. Advil) 200 mg, one to two tablets every 6 hours should relieve the pain.

What local anesthesia is used for a cystoscopy?

Lidocaine (Xylocaine)

Those who prefer a rigid cystoscope or are performing an office procedural cystoscopy that necessitates the use of a rigid cystoscope typically instill local lidocaine gel into the urethra 10-15 minutes before the procedure.

Do you need an enema before a cystoscopy?

The morning of your procedure you must use a FLEETS enema as directed on the package. You should have a bowel movement before you leave home. This allows for better visualization during the ultrasound.

Do you get cystoscopy results right away?

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

How common are complications from cystoscopy?

Cystoscopy is generally a safe procedure. Serious complications are rare. As with any surgery, there is the risk of infection, bleeding, and complications from the anesthesia. In all but the simplest procedures, antibiotics are used before the surgery to reduce the incidence of urinary tract infection.

Do you need a catheter after a cystoscopy?

Once you're asleep, your healthcare provider will do the cystoscopy and any other procedures you're having. They may put a urinary (Foley) catheter into your bladder at the end of your cystoscopy to help drain your urine into a bag.

Can I drive home after cystoscopy procedure?

Do not drive a car or drink alcohol for 24 hours. Have a responsible adult stay with you overnight. The procedures explained in this brochure are usually done by a urologist (a doctor who treats problems with the urinary tract).

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.

How long does it take for urethra to heal after cystoscopy?

After the cystoscopy, your urethra may be sore at first, and it may burn when you urinate for the first few days after the procedure. You may feel the need to urinate more often, and your urine may be pink. These symptoms should get better in 1 or 2 days.

Is a cystoscopy considered outpatient surgery?

Cystoscopy can usually be done as an outpatient procedure (where you don't need to stay overnight in a hospital). You will most likely need to lie on your back for this test, and you might have your feet up in stirrups.