Cystoscopy Identifies Causes of Bladder Dysfunction
Cystoscopy is a procedure where a doctor examines the inside of the bladder using a thin, flexible scope with a camera inserted into the urethra. At Colorado Springs Urology, your care team will recommend a cystoscopy when finding the cause of various bladder issues.
How It Works
- The area is sterilized, and a numbing gel is applied to the urethra to reduce discomfort. Depending on the purpose of the procedure, you may receive a sedative or anesthesia.
- A cystoscope, which is a flexible or rigid tube with a light and camera at the end, is gently inserted through the urethra and guided into the bladder. This allows the doctor to see inside the urethra and bladder using the light and camera.
- A sterile solution, such as water or saline, is injected through the cystoscope to expand the bladder and facilitate examination of its entire inner surface. If abnormal areas are found, the doctor can insert tiny instruments through the scope to take tissue samples (biopsies) or treat small bladder stones.
- After the inspection and after any necessary treatment is completed, the cystoscope is withdrawn. The doctor will then discuss the results and may provide instructions for post-procedure care.
When This Treatment is Appropriate
A cystoscopy may be performed to:
- Investigate symptoms such as hematuria, painful urination, urinary incontinence
- Identify causes of frequent urinary tract infections
- Detect bladder cancer, tumors, polyps, stones, or inflammation
- Diagnose an enlarged prostate
- Remove small tumors or stones
- Insert a stent
- Collect tissue samples for biopsy
- Find structural abnormalities, damage, or congenital issues that could lead to urinary blockages or reflux
Benefits of Cystoscopy
Some benefits of this treatment include:
- Investigates symptoms: Helps identify causes of issues like blood in urine, painful urination, incontinence, and frequent urinary tract infections.
- Diagnoses bladder conditions: Detects problems such as bladder cancer, stones, inflammation (cystitis), and polyps.
- Checks the prostate: Can diagnose an enlarged prostate (benign prostatic hyperplasia) by visualizing a narrowed urethra.
- Identifies structural issues: Finds congenital or acquired structural problems in the urinary tract, including those causing urine backflow.
- Uses advanced imaging: Blue light cystoscopy enhances the detection of bladder cancer.
- Removes growths or stones: Facilitates removal of small tumors, abnormal tissue, or bladder stones with specialized tools.
- Performs biopsies: Obtains bladder or urethral tissue samples for biopsy.
- Manages other issues: Can remove foreign objects, treat fistulas or strictures, or deliver medications.
- Provides direct visualization: Offers clear, direct view of the bladder and urethra for accurate diagnosis and treatment.
- Minimally invasive and promotes quick recovery: Usually performed as a short outpatient procedure, often with same-day discharge and rapid recovery.


