Cystoscopy can be performed to detect strictures in the lower urinary tract, inflammations in the lower urinary tract and urethra tumors, prostate size, prostate tumors, bladder stones, tumor and inflammations, internal urinary tract obstructions, causes and diagnosis of urinary incontinence.
Cystoscopy can be performed for diagnostic purposes in cases such as blood in the urine, urinary incontinence, painful urination, overactive bladder, inability to insert a catheter, persistent urinary tract infections, traumas, injuries, and foreign body removal.
It is one of the preferred treatment applications in the treatment of urethral obstructions, in the treatment of stones, ulcers and tumors in the urinary bladder, in the removal of stents and foreign substances in the urinary tract and bladder, and in the treatment of benign diseases such as prostate enlargement.
Cystoscopy is performed in cases of injuries to the urinary tract in women, in cases such as frequent urination or urinary incontinence, in cases of suspicion of gynecological cancer, in cases of urine coming from the vagina, in cases of post-urinary dripping, in cases of recurrent urinary tract infection, and in cases such as injection treatments for urinary incontinence. .
Cystoscopy, as it is known, is also used for follow-up purposes, in addition to investigating conditions such as urinary tract infections and causes of bleeding found in urine analysis.
Performing cystoscopy; It is not used in patients with active urinary tract infection, severe prostatic obstruction, poor general condition, bleeding diathesis and very low bladder capacity.
If visible bleeding occurs while urinating or blood is found in the urine during a urinalysis, the inside of the bladder is examined with a cystoscope to investigate what is causing this bleeding and the diagnosis is made in this way.
In patients who have undergone surgery for bladder cancer, the inside of the bladder is examined with a cystoscope at regular intervals to check whether the disease has recurred. People who frequently experience urinary tract infections undergo cystoscopy to see if there is an underlying cause and, if so, what it is.
However, cystoscopy treatment can also be used during TUR-Prostate surgery, that is, shaving the prostate by entering through the external urinary tract in cases of benign prostate enlargement, the process of opening the stenosis in the external urinary tract, the process of breaking the bladder stone using the closed method, and the temporary insertion of a catheter into the upper urinary tract and kidney. is used.
Situations where cystoscopy is not performed: If the person has an untreated, unhealed urinary tract infection, if there is advanced prostate enlargement and associated obstruction, if there is a disorder in the general condition, if there is a disorder in the form of blood clotting, if the volume of the urinary bladder is determined to be too small, cystoscopic examination is approved in these patients. It is not a situation.
This procedure, namely cystoscopy, is performed both for diagnosis and treatment purposes. The most common reason why it is performed is to investigate whether this bleeding is due to bladder cancer in people who have blood in their urine.
However, regular follow-up of patients who have undergone closed bladder cancer surgery seems to be very useful.
In addition, closed prostate surgery, that is, TUR, is frequently used in cases of closed urinary tract stenosis, in treatments such as breaking stones in the bladder and inserting a catheter into the upper urinary tract.
As we mentioned above, in which cases cystoscopy should be performed, in which cases it is necessary and should be performed in women, in which cases cystoscopy should not be performed and what to pay attention to before, after and during the cystoscopy procedure are as follows.
Factors such as the degree of your disease, how it progresses, and its duration play an important role in such cases.
Reference: Ekici, S. How or in whom can cystoscopy intervals be extended in bladder cancer follow-up?
Prof. Dr. Gökhan Koç graduated from Gazi University Faculty of Medicine in 2000. After his graduation, he worked as a research assistant in the urology clinic at Tepecik Training and Research Hospital for 5 years and became a specialist doctor in 2007. He currently provides services in urological surgery in İzmir.