PreOp Patient Education
Tuesday, November 19, 2019

Audio Presentation

Cystoscopy

Male


Your Procedure
  Your Body
  Alternatives
  Medical Record
  Anesthesia
  Before Surgery
  Your Procedure
  Recovery
This information is not intended to replace the advice of your doctor. MedSelfEd, Inc. disclaims any liability for the decisions you make based on this information.
Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation, you will be asked to put on a surgical gown.
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth
You may receive a sedative by mouth
and an intravenous line may be put in.
and an intravenous line may be put in.
You will then be transferred to the operating table.
You will then be transferred to the operating table.
Once on the table, your feet and legs will be placed in an elevated position with your knees apart.
Once on the table, your feet and legs will be placed in an elevated position with your knees apart.
You'll be asked to urinate so the amount of urine remaining in the bladder can be measured.
You'll be asked to urinate so the amount of urine remaining in the bladder can be measured.
The nurse will swab the penis with an antiseptic solution.
The nurse will swab the penis with an antiseptic solution.
Your doctor will then lift your penis upward.
Your doctor will then lift your penis upward.
A well-lubricated cystoscope is gently inserted into the urethra,
A well-lubricated cystoscope is gently inserted into the urethra,
the opening at the head of the penis, and slowly guided inward.
the opening at the head of the penis, and slowly guided inward.
When the cystoscope reaches the back of the penis, your doctor will pull the penis downward in order to create a straight path into the bladder.
When the cystoscope reaches the back of the penis, your doctor will pull the penis downward in order to create a straight path into the bladder.
Once the cystoscope is inside the bladder, your doctor will inject a small amount of water through the cystoscope and into the bladder.
Once the cystoscope is inside the bladder, your doctor will inject a small amount of water through the cystoscope and into the bladder.
The water serves to expand the bladder, helping your doctor to better examine the interior. It also helps by washing away any blood or remaining urine.
The water serves to expand the bladder, helping your doctor to better examine the interior. It also helps by washing away any blood or remaining urine.
You may feel a sense of fullness as though you need to urinate. You'll be encouraged to relax and not to try to retain the water in your bladder.
You may feel a sense of fullness as though you need to urinate. You'll be encouraged to relax and not to try to retain the water in your bladder.
As the team completes it's inspection, they'll be looking for suspicious tissues. If they find bladder stones, your doctor may try to crush these so that they can pass out of the bladder during normal urination.
As the team completes it's inspection, they'll be looking for suspicious tissues. If they find bladder stones, your doctor may try to crush these so that they can pass out of the bladder during normal urination.
If the team finds a suspicious growth they will use a special grasping tool to take a sample of tissue in order to send to a laboratory for analysis.
If the team finds a suspicious growth they will use a special grasping tool to take a sample of tissue in order to send to a laboratory for analysis.
When the inspection is complete, your doctor will remove the cystoscope and you'll be asked to empty your bladder.
When the inspection is complete, your doctor will remove the cystoscope and you'll be asked to empty your bladder.
Your doctor will probably ask you to wear a temporary Foley catheter.
Your doctor will probably ask you to wear a temporary Foley catheter.
A Foley catheter is a narrow tube inserted through your urethra and into your bladder.  The catheter is connected to a bag that is attached to your leg by a strap.  While the Foley catheter is in place, urine will pass from your bladder into the bag.  You will not need to urinate into a toilet.
A Foley catheter is a narrow tube inserted through your urethra and into your bladder. The catheter is connected to a bag that is attached to your leg by a strap. While the Foley catheter is in place, urine will pass from your bladder into the bag. You will not need to urinate into a toilet.
The nurse will show you how to change the bag when it is full.  An appointment will be made for you to return to the doctor's office in a couple of days to have the catheter removed.
The nurse will show you how to change the bag when it is full. An appointment will be made for you to return to the doctor's office in a couple of days to have the catheter removed.
As soon as the anesthesia wears off and you feel comfortable, you'll be allowed to leave.
As soon as the anesthesia wears off and you feel comfortable, you'll be allowed to leave.

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