Cystoscopy for Men
What is cystoscopy?
Cystoscopy is a procedure that lets a healthcare provider look at the urinary tract.
It can help find early signs of cancer, infection, narrowing, blockage, and bleeding.
This procedure uses a long, thin, flexible, lighted tube called a cystoscope. This
is put into the urethra and moved up into the bladder. The cystoscope lets the healthcare
provider look closely at the inside of the urethra and bladder.
During a cystoscopy, the healthcare provider may remove tissue for further exam (biopsy).
Some problems may be treated during the procedure.
Why might I need a cystoscopy?
A cystoscopy may be advised if your provider thinks you may have a urinary tract problem.
This includes a blockage or urine backflow. If untreated, these problems may lead
Some health problems of the urinary tract that may be found during cystoscopy include:
Polyps, overgrowths of normal tissue, or a mass that’s often not cancer
Bladder stones. These are calcium crystals that can lead to infection.
Inflammation, bleeding, and urinary tract blockages
Benign prostatic hypertrophy (BPH). This is an enlargement of the prostate gland that
most often happens in men older than age 50. It's not cancer. The prostate wraps around
the urethra. When it’s enlarged, it presses on the urethra and interferes with normal
passage of urine. If left untreated, the enlarged prostate can block the urethra completely.
Cancer or a tumor of the bladder or prostate gland
Scarring and damage caused by frequent urinary tract infections (UTIs)
Birth defects that may lead to urine backflow or kidney problems
Urinary tract injury
Your healthcare provider may have other reasons to recommend a cystoscopy.
What are the risks of cystoscopy?
Complications linked to cystoscopy include:
Urinary retention because of irritation and swelling from the procedure
Poking a hole in the bladder with the cystoscope (bladder perforation)
Scar tissue in the urinary tract
There may be other risks depending on your specific health condition. Discuss any
concerns with your healthcare provider before the procedure.
A urinary tract infection may interfere with a cystoscopy.
How do I get ready for a cystoscopy?
Your healthcare provider will explain the procedure and you can ask questions.
You will be asked to sign a consent form that gives your permission to do the procedure.
Read the form carefully and ask questions if anything is not clear.
Fasting before the procedure will depend on the type of anesthesia used. Your healthcare
provider will give you specific instructions about how long to fast. You may be given
other instructions about a special diet you should follow for a day or two before
the procedure. Follow any directions you are given for not eating or drinking before
Tell your healthcare provider if you are sensitive to or are allergic to any medicines,
latex, iodine, tape, or anesthesia.
Check that your healthcare provider has a list of all medicines you are taking. This
includes prescription and over-the-counter medicines, herbs, vitamins, and supplements.
Tell your healthcare provider if you have a history of bleeding disorders. Or if you
are taking any blood-thinning (anticoagulant) medicines, aspirin, or other medicines
that affect blood clotting. You may need to stop taking these medicines before the
If local anesthesia is used, you will be awake during the procedure. But you may be
given a sedative. You will need someone to drive you home afterward.
If you think you have a urinary tract infection, tell your healthcare provider. In
that case a cystoscopy should not be done. Your healthcare provider may check your
urine for infection before doing the procedure. Signs of infection include things
such as frequent urination, pain or burning when passing urine, fever, and urine that
looks dark, cloudy, or reddish in color and smells bad.
Based on your health condition, your healthcare provider may request other specific
What happens during cystoscopy?
A cystoscopy may be done on an outpatient basis. This means you go home the same day.
Or it may be done during a hospital stay. Procedures may vary, depending on your condition
and your healthcare provider's practices.
Generally, a cystoscopy follows this process:
You will remove any clothing, jewelry, or other objects that may interfere with the
If you are asked to remove your clothing, you will be given a gown to wear.
An IV (intravenous) line may be started in your arm or hand.
You may be given an IV sedative or anesthetic, depending on your situation and the
type of scope that will be used. This will make you sleepy and not feel pain during
the cystoscopy. If a sedative or anesthetic is used, your heart rate, blood pressure,
breathing, and blood oxygen level will be watched during the procedure.
You will lie on an exam table on your back with your knees up and spread apart. Your
feet will be placed in stirrups.
A numbing medicine will be put through the end of your penis and into your urethra
using a soft, thin tube (catheter). This may be mildly uncomfortable until the area
Once the urethra is numb or the anesthesia has taken effect, the healthcare provider
will put the cystoscope into the end of your penis and through the urethra. You may
have some discomfort when this is done.
As the cystoscope is passed through the urethra, the healthcare provider will check
the lining. The provider will move the cystoscope up until it reaches the bladder.
Once the cystoscope is in the bladder, the healthcare provider may put sterile water
or saline into the bladder. This helps to expand it and make the bladder lining easier
to see. While the bladder is being filled, you may have the urge to urinate. Or you
may feel mild discomfort.
The healthcare provider will check the bladder for any problems. A long, thin tool
may be passed through the cystoscope to take out a piece of bladder tissue for testing.
A urine sample may be taken from the bladder, too.
The cystoscope will be carefully removed after the procedure has been completed.
What happens after a cystoscopy?
After the procedure, you may be taken to a recovery room for observation if sedation
or anesthesia was used. Your recovery process will vary depending on the type of sedation
that was given. Once your blood pressure, pulse, and breathing are stable and you
are alert, you will be taken to your hospital room or discharged to your home. Cystoscopy
is often done on an outpatient basis.
You may go back to your usual diet and activities unless your healthcare provider
tells you otherwise.
You will be encouraged to drink extra fluids. This dilutes the urine and reduces urinary
discomfort such as burning. Some burning with urination is normal after the procedure
but should lessen over time. A warm sitz or tub bath may help ease the discomfort.
You may notice blood in your urine after the procedure. This is normal and should
clear up over the next day or two.
Take a pain reliever for soreness as advised by your healthcare provider. Aspirin
or certain other pain medicines may increase the chance of bleeding. Take only recommended
You may be given an antibiotic to take after the procedure. This is to help prevent
infection. Take it exactly as instructed.
Tell your healthcare provider if you have any of the following:
Your healthcare provider may give you other instructions after the procedure, depending
on your particular situation.
Before you agree to the test or the procedure make sure you know:
The name of the test or procedure
The reason you are having the test or procedure
What results to expect and what they mean
The risks and benefits of the test or procedure
What the possible side effects or complications are
When and where you are to have the test or procedure
Who will do the test or procedure and what that person’s qualifications are
What would happen if you did not have the test or procedure
Any alternative tests or procedures to think about
When and how will you get the results
Who to call after the test or procedure if you have questions or problems
How much will you have to pay for the test or procedure