Cystoscopy

Subject: Medical and Surgical Nursing I (Theory)

Overview

Cystoscopy is an endoscopy of the bladder performed through the urethra. It is often performed during a cystoscopy under local anesthesia. For operational cystoscopy operations, general anesthesia is occasionally employed. It comes in two varieties: stiff and flexible. It is recommended for conditions such as persistent pelvic pain, frequent urinary tract infections, unusual growths like polyps or tumors, painful urination, urinary tract stones, and more. While some doctors may prefer that the patient wear a hospital gown for the examination and covers the lower part of the body with a sterile drape, instruct the patient to remove any clotting that covers the lower part of their body. In cases requiring a rigid cystoscopy it is not unusal for the patient to be given a general anaesthetic as these can be more uncomfortable, particularly for men. After test patient often have some burning feeling when they urinate and often see small amounts of blood in their urine.

Cystoscopy

Endoscopy of the urinary bladder through the urethra is known as cystoscopy. In most cases, local anesthetic is used when performing a cystoscopy. When performing operative cystoscopy procedures, general anesthesia is occasionally used.

Types

  • Flexible cystoscopy.
  • Rigid cystoscopy.

Indications

  • Frequent urinary tract infections.
  • Blood in urine.
  • Loss of bladder control.
  • Painful urination, chronic pelvic pain.
  • Urinary blockage.
  • Stone in the urinary tract.
  • Unusual growth, polyp, tumor or cancer.

Procedure

  • The majority of the time, after the test, patients are able to resume their regular routines, including eating. Before the test, the patient may be requested to provide a urine sample to screen for infection.
  • While some doctors may prefer that the patient wear hospital gowns for the examination and covers the lower part of the body with a sterile drape, instruct patients to remove any clotting covering that area of their bodies.
  • Most frequently, a patient is found with their knees slightly apart while lying on their backs. Occasionally a patient may also need to have their knees raised. This is particularly when undergoing a rigid cystoscopy examination. For flexible cystoscopy procedure, the patient is almost always later and a local anesthetic is applied to reduce discomfort.
  • In cases requiring a rigid cystoscopy, it is not unusual for the patient to be given a general anesthetic as these can be more uncomfortable, particularly for men.
  • Clean the area around the urethral opening and apply a local anesthesia. The local anesthetic is applied directly from a tube or needless syringe into the urinary tract.
  • Generally, insert the tip of cystoscope into the urethra and slow guide it up into the bladder. The procedure is more painful for men than for men than women due to length and narrow diameter of the male urethra. Relaxing the pelvic muscles helps make this part of test easier. A sterile liquid will blow through cystoscopy slowly fill bladder and stretch it to that bladder reaches capacity patient typically feels some mild discomfort and urge to urinate
  • In most cases, the entire examination including pre-operation will take about 15 to 20 minutes.

Post-operative Care

Patients sometimes experience some burning after tests and see little quantities of blood in their urine. When inflexible apparatus is used during procedures, urine incontinence and leaking from idiopathic reasons to urethra injury are frequently the results. Patients may occasionally have lower abdomen aches that are caused by the spasms of the bladder muscles, although this is uncommon. Commonly prescribed medications to ease pain following the test include;

  • Drink 1 liter of water over 2 hour.
  • Taking a warm bath to relieve the burning feeling.
  • Holding a warm, damp washcloth over the urethral opening.

References

  • 38-yazikov-besplatno.ru/dl.php?id=47114
  • dev.worldpossible.org:81/wikipedia_en_all_2016-02/A/Cystoscope.html
  • healthpages.wiki/wiki/Cystoscopy

  • Mandal, G. (August 2013). A Textbook of Adult Health Nursing (2nd ed.). Dilllibazar kathmandu: Makalu publication house. Retrieved August 2013
Things to remember
  • Cystoscopy is an endoscopy of the bladder performed through the urethra.
  • Chronic pelvic pain, painful urination, and indication.
  • Following the exam, patients are free to resume their regular routines, including eating.
  • Request that the patient remove the clot that is covering their lower body.
  • Purify the vicinity of the urethral opening.
  • Patients may have some lower abdomen pain following the surgery, which represents bladder muscular spasms.
  • Two hours worth of one liter of water.
  • A warm bath to soothe the burning sensation
  • The urethral opening with a warm, damp washcloth in your hand
Questions and Answers

Cystoscopy is an endoscopy of the bladder performed through the urethra. It is typically performed during a cystoscopy under local anesthesia. For operational cystoscopy procedures, general anesthesia is occasionally used.

Types:

  • Flexible cystoscopy
  • Rigid cystoscopy

 

Cystoscopy is an endoscopy of the bladder performed through the urethra. It is typically performed during a cystoscopy under local anesthesia. For operational cystoscopy procedures, general anesthesia is occasionally used.

Types:

  • Flexible cystoscopy
  • Rigid cystoscopy

Indications:

  • Urinary tract infections frequently
  • Urethral blood
  • Bladder control issues
  • Urination that hurts and persistent pelvic pain
  • Urinary obstruction
  • A urinary tract stone
  • Abnormal development, polyp, tumor, or cancer

Procedure:

  • The majority of the time, after the test, patients are able to resume their regular routines, including eating. Before the test, patients may be requested to provide a urine sample to be tested for infection.
  • While some doctors may prefer that the patient wear a hospital gown for the examination and covers the lower part of the body with a sterile drape, instruct the patient to remove any clotting that covers the lower part of their body.
  • The majority of the time, patients are found lying on their backs with their knees slightly apart. Sometimes a patient will additionally require having their knees lifted. This is especially true if you are having a strict cystoscopy examination. In order to lessen discomfort, the patient is virtually always altered during flexible cystoscopy procedures.
  • Since rigid cystoscopies can be more uncomfortable, especially for men, it is not uncommon for the patient to be given a general anesthetic in these situations.
  • Apply a local anesthetic after cleaning the region around the urethral opening. The urinary tract is directly injected with the local anesthetic using a tube or unnecessary syringe.
  • Typically, place the cystoscope's tip in the urethra and slowly raise it toward the bladder. Due to the length and small diameter of the male urethra, the treatment hurts males more than women. This portion of the test is made simpler by relaxing the pelvic muscles. Patients usually experience some mild discomfort and the urge to urinate after having their bladders slowly filled and stretched by a sterile liquid during a cystoscopy.
  • The average length of the examination, including pre-op, is 15 to 20 minutes.

Post-operative care:

Patients frequently experience some burning after tests and notice little quantities of blood in their urine. When inflexible apparatus is used during procedures, urine incontinence and leaking from idiopathic causes to urethra injury are frequently the results. Patients may occasionally experience lower abdomen pains that are caused by the spasms of the bladder muscles, but this is rare. Commonly prescribed medications to ease discomfort following the test include

  • Two hours worth of one liter of water.
  • A warm bath to soothe the burning sensation
  • The urethral entrance with a warm, moist washcloth in your hand

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