A Flexible Cystoscopy is a simple and safe procedure that allows your urologist to examine the inside of your urethra and bladder using a narrow, flexible fibre-optic telescope (approximately 5mm wide). It can be performed with local anaesthetic gel or under light sedation and is usually done as a day procedure.

Who May Need a Flexible Cystoscopy?

Your urologist may recommend a flexible cystoscopy for several reasons, including:

• Investigation of blood in the urine (haematuria)
• Surveillance for patients with a history of bladder cancer
• Assessing for possible blockages to urine flow
• Removal of a stent from the ureter
• Bladder biopsies
• Evaluation of other bladder symptoms or concerns

Advantages of Flexible Cystoscopy

• Quick and minimally invasive procedure
• Usually performed under local anaesthesia or light sedation
• Conducted as a day procedure, meaning you go home the same day
• Provides important diagnostic information to assist in treatment planning

How is the Procedure Performed?

• Local anaesthetic gel or light sedation is administered
• The flexible cystoscope is passed through the urethra into the bladder
• The bladder is gently filled with sterile saline for better visibility
• The entire procedure takes approximately 5–10 minutes
• You may feel a sensation of bladder fullness or mild discomfort
• If you’ve had sedation, you’ll need someone to drive you home

What to Expect After the Procedure

• You may feel the need to urinate immediately after the procedure
• Burning or stinging when passing urine is common and usually settles within a few days
• Some patients experience urinary urgency or frequency, which resolves quickly
• It is normal to see a small amount of blood in the urine for a couple of days
• You can resume normal activities unless otherwise advised
• Your urologist will discuss the findings with you before discharge

Over-the-counter options:

• Ural sachets (from pharmacies) may help ease burning and discomfort

Post-Operative Care Instructions

What to Expect:

• You will likely feel the need to urinate soon after the procedure
• Mild bleeding or pink urine for a few days is common
• Stinging and burning when passing urine can last up to 2–3 days
• You may have increased frequency and urgency, especially at night

Returning to Normal Activities:

• Driving: Avoid driving for 24 hours if you had sedation
• Work: Usually okay to return the next day
• Exercise: No restrictions unless advised otherwise
• Sexual activity: No restrictions unless otherwise advised
• Lifting: No restrictions unless your doctor specifies

When to Seek Medical Attention

Go to the nearest hospital emergency department if you experience:

• Inability to urinate
• Fever, chills, or shaking (may indicate an infection)

Flexible cystoscopy is one of the most common and informative procedures performed by urologists. It plays a vital role in diagnosing urinary tract conditions, monitoring bladder cancer, and assisting in minor urological interventions.