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 5 mm wide).
This procedure is often performed under local anaesthetic (in the form of a gel inserted into the urethra), but may also be done with light sedation. It is a day procedure, meaning you can go home the same day.
Who May Need a Flexible Cystoscopy?
You may be referred for a flexible cystoscopy for a number of reasons, including:
- Investigation of blood in the urine (haematuria)
- Ongoing surveillance after treatment for bladder cancer
- Assessing for blockage or obstruction in the urinary tract
- Removal of a ureteric stent
- Bladder biopsy
- Investigation of other bladder or lower urinary tract symptoms
Benefits of Flexible Cystoscopy
- A quick, simple and minimally invasive diagnostic procedure
- Can be performed with local anaesthetic or light sedation
- Typically completed in 5–10 minutes
- Provides valuable insights into the bladder and urethra anatomy
- Can assist with diagnosis, monitoring, and treatment planning for urinary tract conditions
How Is the Procedure Performed?
- A local anaesthetic gel is inserted into the urethra to minimise discomfort. Some patients may receive light sedation instead.
- A flexible cystoscope is gently passed through the urethra and into the bladder.
- The bladder is filled with sterile saline fluid to allow a clear view during the procedure.
- You may feel a sense of bladder fullness and some mild discomfort.
- The entire procedure typically lasts 5–10 minutes.
- If sedation is used, you must arrange for someone to drive you home.
Symptoms to Expect
- Burning and stinging with urination for up to a few days
- Blood in the urine, which may be intermittent
- Urgency and frequency of urination
- Bladder fullness immediately after the procedure
Returning to Normal Activities
- Driving: Do not drive for 24 hours if you received sedation
- Work: Most patients can return to work the following day
- Exercise and lifting: No restrictions unless advised otherwise
- Sexual activity: No restrictions unless advised otherwise
Pain Relief and Medications
- You may take Ural sachets to ease burning or discomfort when urinating.
- Paracetamol may also be used if needed for discomfort.
When to Seek Urgent Medical Attention
Go to your nearest emergency department if you experience:
- Inability to urinate
- Fever, chills, or shakes, which may indicate an infection
