Cystoscopy Procedure and Sedation


Navigate the intricacies of cystoscopy with this brief guide. Answering essential FAQs on cystoscopy procedure and sedation, It provides insights for both healthcare professionals and individuals seeking clarity on cystoscopy preparation, restrictions, the process and comfort measures associated with cystoscopy.

How long does a cystoscopy take?

A cystoscopy usually takes 5 to 20 minutes. Using a flexible or rigid tube called a cystoscope, the procedure involves inserting it into the urethra to examine the bladder and urinary tract. The duration may vary based on the purpose and any additional treatments needed, such as biopsies, removal of small growths, or the placement of stents. Keep in mind that the total time in the procedure room may be longer due to preparation and recovery.

What type of sedation is used for cystoscopy?

During a cystoscopy, you may undergo the procedure in a testing room with a local anesthetic jelly to numb the urethra. Alternatively, it can be performed as an outpatient procedure with sedation. In some cases, cystoscopy may take place in a hospital under general anesthesia. Midazolam is often preferred over diazepam for its effectiveness in enhancing sedation, reducing pain, and minimizing procedure recall. The specific type of cystoscopy chosen depends on the purpose of the procedure.

How is a cystoscopy performed?

During a cystoscopy, a thin, flexible tube called a cystoscope is used to visually examine the bladder and urethra. The process involves preparing for the procedure, which may include changing into a gown and applying a local anesthetic gel to numb the urethra. You’ll likely be positioned on your back with your feet in stirrups, resembling a pelvic exam. The cystoscope is then gently inserted into the urethra and advanced into the bladder. Equipped with a light and camera, it allows the doctor to inspect the bladder walls for abnormalities such as tumors, stones, or signs of infection. If necessary, the doctor may perform additional procedures during the cystoscopy, such as taking tissue samples (biopsy), removing small growths, or addressing other issues. Once the examination and any interventions are complete, the cystoscope is gently removed. As a typically outpatient procedure, recovery is quick. You may experience mild discomfort or irritation during urination for a short time afterward.

Can you be put to sleep for a cystoscopy?

Yes, you can be put to sleep for a cystoscopy. This procedure is usually performed under local anesthesia, which numbs the area. However, some individuals may require general anesthesia, where you are unconscious throughout the procedure. This decision is based on factors such as the patient’s comfort level and medical history. It is best to discuss your options with your doctor to determine the most suitable approach for you.

Do you need anesthesia for a cystoscopy?

No, anesthesia is not always necessary for a cystoscopy. This procedure, which involves inserting a thin tube into the urethra to examine the bladder, can be done with local anesthesia where a numbing agent is applied to the urethra, making the area less sensitive. However, in some cases, such as when a patient is experiencing severe pain or anxiety, general anesthesia may be used to ensure their comfort during the procedure. It is best to consult with your healthcare provider to determine the most appropriate anesthesia option for your specific situation.

Do you need to be sedated for a cystoscopy?

Sedation is not always necessary for a cystoscopy. The procedure can be performed with local anesthesia, where a numbing agent is applied to the urethra to minimize discomfort. This allows the patient to stay awake during the examination. In some cases, mild sedation may be offered to help with relaxation, but it doesn’t result in complete unconsciousness. Sedation may be used in certain cases, such as if the procedure is expected to be more uncomfortable or if the patient is anxious. However, most cystoscopies are well-tolerated without sedation.
Cystoscopy Procedure and Sedation 1

Dr Muhammad Imran

Medical Officer and Writer

Dr. Muhammad Imran is a highly qualified medical professional with an MBBS degree from Nishtar Medical University. As a Medical… See More