Cystoscopy: Features Of The Technique

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Cystoscopy: Features Of The Technique
Cystoscopy: Features Of The Technique

Video: Cystoscopy: Features Of The Technique

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Video: Male Cystoscopy Procedure | PreOp® Patient Education 2023, February

Cystoscopy is a modern and effective medical method for examining the bladder. During the procedure, not only diagnosis is possible, but also the performance of some therapeutic manipulations.

Cystoscopy: features of the technique
Cystoscopy: features of the technique

Cystoscopy is an invasive research method, because it involves the penetration of a medical device inside with its passage through the mucous membrane of the urethra.

The device with which the procedure is performed is called a cystoscope. It is an elongated tube with a metal cylinder, in which there are additional holes, through which, if necessary, a catheter or forceps is inserted to take a sample of the neoplasm. An irrigation system is located in the cylinder, through which a special fluid is injected into the bladder, which helps to accurately determine the volume of the organ being diagnosed.

With the help of a cystoscope, you can examine the bottom of the bladder (Lieto's triangle), assess its color, detect existing inflammation and suppuration, and assess the location of the ureters. The procedure, if indicated, is carried out for both adults and children.

Cystoscopy technique

Cystoscopy is performed with the patient lying on his back in a special chair with legs apart and bent at the knees. The mucous membrane is anesthetized with novocaine (5%), which is injected through a syringe with a rubber tip. The cystoscope is lubricated with sterile glycerin and inserted through the urethra into the bladder with smooth movements. In case of excessive sphincter resistance or violation of the passage of the device due to pathological processes (prostate adenoma), it is more expedient to conduct the examination under general anesthesia.

The examination is carried out for a short time and in a certain sequence: the bladder triangle and the mouth of the ureters, the transitional fold, the lateral and upper walls of the bladder, directing the device clockwise and moving forward and backward after turning the cystoscope around the axis by 15-20 degrees. The state of the mucous membrane, blood vessels, deformation and mobility of the anterior wall of the bladder is recorded. Pathological elements require a more detailed examination from various angles.

Indications for cystoscopy

Indications for the use of the cystoscopy procedure are violations of the normal functioning of the bladder, namely: the presence of blood in the urine, violations of the urination process, urinary incontinence and frequent urination, numerous recurrences of cystitis, stones in the bladder, the presence of atypical cells in the urine, neoplasms identified with other diagnostic methods (ultrasound, X-ray examination, computed tomography).

Cystoscopy is also performed for therapeutic purposes: to remove obstructions and neoplasms in the bladder, stop bleeding, crush stones, and install a catheter.

Cystoscopy allows you to examine in detail the inner surface of the bladder, which is not possible with the use of other diagnostic methods, and to establish an accurate diagnosis of bladder pathology in the early stages of development.

Carrying out the cystoscopy procedure requires mandatory adherence to the rules of asepsis and antisepsis.

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