Flexible Cystoscopy Edinburgh | Private Cystoscopy Specialists
Waterfront Hospital Edinburgh, Scotland
Flexible cystoscopy is a quick, minimally invasive diagnostic procedure performed by our specialist urologists to examine the inside of your bladder and urethra. Sometimes called a “bladder camera test” by patients, this procedure is essential for investigating blood in urine (haematuria), frequent UTIs, urinary discomfort, and other bladder concerns. At Waterfront Private Hospital Edinburgh, we provide this important examination in a comfortable, private setting with minimal recovery time needed.
Contents
Overview
Flexible Cystoscopy Edinburgh
- TYPE OF ANAESTHETIC
Local - LENGTH OF PROCEDURE
20-30 mins - HOSPITAL STAY
Outpatient - RECOVERY
Minimal time off work if any
What the cystoscopy procedure involves
The flexible cystoscopy (often referred to as a bladder camera test) at Waterfront Private Hospital Edinburgh is straightforward and minimally invasive:
Preparation: You will be positioned comfortably on an examination table. A local anaesthetic gel is applied to numb the urethra and minimise discomfort during the procedure.
Insertion: A thin, flexible cystoscope (a small tube with a camera and light) is gently inserted through the urethra into the bladder. The flexibility of the modern instrument allows it to follow the natural curves of the urinary tract, ensuring maximum comfort.
Examination: The cystoscope contains a lens and light source that allows the urologist to view the inside of your bladder and urethra on a monitor. Small amounts of sterile water may be introduced to expand the bladder for better visibility.
Documentation: Images or videos may be captured for medical records and to help explain findings to you.
Completion: The procedure typically takes only 15-20 minutes, and patients can return home immediately afterwards.
At Waterfront Private Hospital, we use the latest high-definition flexible cystoscopes with enhanced imaging capabilities to ensure the most accurate diagnosis while prioritising patient comfort.
Benefits and expected outcomes
Diagnostic Benefits:
- Accurate Diagnosis: Provides direct visualisation of the urinary tract, allowing our Edinburgh urologists to precisely identify problems such as inflammation, stones, growths, or strictures.
- Early Detection: Enables early detection of bladder cancer and other serious conditions, particularly important if you’ve experienced blood in your urine (haematuria).
- Comprehensive Assessment: Allows thorough assessment of urethral and bladder function, structure, and appearance in one quick procedure.
- Reduced Need for More Invasive Tests: May eliminate the need for more complex and invasive diagnostic procedures, saving you time and discomfort.
Procedural Advantages:
- Minimally Invasive: Requires no incisions and causes minimal discomfort.
- Quick Recovery: Most patients resume normal activities the same day.
- Outpatient Procedure: No hospital stay required.
- Immediate Results: Provides immediate visual information about the condition of your urinary tract.
Expected Outcomes:
- Most patients experience only mild, temporary discomfort during and after the procedure.
- Any mild symptoms such as a burning sensation during urination or slight bleeding typically resolve within 24-48 hours.
- The urologist can often discuss findings immediately after the procedure, providing peace of mind or a clear path for further treatment.
Who needs a cystoscopy?
Our Edinburgh private flexible cystoscopy service is recommended for individuals experiencing various urinary symptoms or conditions, including:
Patients with Unexplained Urinary Symptoms:
- Blood in urine (haematuria) – one of the most common reasons for cystoscopy
- Recurrent urinary tract infections (UTIs) that don’t respond to antibiotics
- Painful or frequent urination that disrupts daily life
- Urinary incontinence or loss of bladder control
- Difficulty passing urine or weak urine flow (which may indicate obstruction)
Patients Requiring Monitoring:
- Previous diagnosis of bladder cancer requiring surveillance
- Follow-up after treatment for urinary tract conditions
- Monitoring of existing bladder or urethral abnormalities
Patients Needing Specific Investigations:
- Evaluation of prostate enlargement and its effects on urination
- Investigation of suspected stones or foreign bodies in the bladder
- Assessment of urethral strictures or blockages
- Identification of the cause of chronic pelvic pain
Patients with Abnormal Test Results:
- Abnormal findings on ultrasound, CT scan, or MRI of the urinary tract
- Abnormal urine cytology suggesting possible cancer cells
Ideal candidates should be able to remain still during the procedure and have no acute urinary tract infection or urethritis at the time of the procedure.
Risks and considerations
While flexible cystoscopy is generally safe, potential risks and considerations include:
Common Side Effects:
- Mild burning or stinging when urinating for a day or two
- Small amounts of blood in the urine
- Mild discomfort in the lower abdomen
- Temporary increased frequency of urination
Less Common Risks:
- Urinary tract infection (about 1-3% of cases)
- Difficulty urinating due to swelling (rare)
- Allergic reaction to the anaesthetic gel (very rare)
Special Considerations:
- Patients on blood-thinning medications may need to adjust their medication before the procedure
- Individuals with a history of urethral strictures may require additional preparation
- Patients with active urinary tract infections will typically need treatment before undergoing cystoscopy
At Waterfront Private Hospital, we take every precaution to minimise these risks, including using sterile techniques, prophylactic antibiotics when indicated, and selecting the most appropriate cystoscope size for each patient.
Aftercare and recovery
Aftercare and recovery
Recovery basics:
- Drink plenty of water for the first few days
- Avoid strenuous activities for 24 hours
- Take paracetamol if needed for mild discomfort
- Avoid alcohol for 24 hours
Seek medical attention if you experience severe pain, heavy bleeding, fever, or symptoms lasting more than 48 hours. Most patients return to normal activities the day after the procedure.
Frequently Asked Questions about Cystoscopy in Edinburgh
1. What is a flexible cystoscopy?
A flexible cystoscopy is a procedure that uses a thin, flexible telescope (cystoscope) to examine the inside of the bladder and urethra. At Waterfront Hospital Edinburgh, this procedure (sometimes called a bladder camera test) helps diagnose and monitor various urinary conditions and is performed under local anaesthetic for your comfort.
2. Will a flexible cystoscopy hurt?
Most patients experience only mild discomfort rather than pain. The local anaesthetic gel applied before the procedure significantly reduces any discomfort. Some patients may feel a slight burning sensation or the need to urinate during the procedure.
3. How long does a flexible cystoscopy take?
The procedure itself typically takes just 15-20 minutes. However, you should allow about an hour for your appointment to include preparation and recovery time.
4. How should I prepare for a cystoscopy?
You’ll be asked to provide a urine sample to check for infection before the procedure. There’s no need to fast, and you can eat and drink normally. Wear comfortable clothing and you may wish to bring a bottle of water for afterwards.
5. Can I drive home after a cystoscopy?
Yes, most patients can drive themselves home after the procedure as it involves only local anaesthetic. However, some people prefer to arrange transport if they feel anxious about the procedure.
6. Will I see the results immediately?
In most cases, the urologist can discuss the findings with you immediately after the procedure. However, if tissue samples (biopsies) are taken, these results will take longer, typically 1-2 weeks.
7. Is there any bleeding after a cystoscopy?
Some patients may notice small amounts of blood in their urine for a day or two after the procedure. This is normal and should clear up quickly.
8. When can I return to normal activities?
Most patients can return to normal activities, including work, the same day or the day after the procedure. We recommend avoiding strenuous exercise and sexual activity for 24-48 hours.
9. Do I need antibiotics after a flexible cystoscopy?
Not all patients require antibiotics. However, some patients at higher risk of infection may be prescribed a short course of antibiotics. Your urologist will advise if this is necessary for you.
10. How accurate is a flexible cystoscopy?
Flexible cystoscopy is highly accurate for diagnosing most bladder and urethral conditions. However, some conditions may require additional tests for a complete diagnosis.
11. Are there alternatives to having a cystoscopy?
While there are imaging tests like ultrasound scans, CT scans and MRIs that can examine parts of the urinary tract, these cannot provide the same detailed view of the bladder lining and urethra that a cystoscopy offers. For concerns about blood in urine or bladder cancer screening, cystoscopy remains the gold standard. Your Edinburgh urologist will recommend the most appropriate test for your specific symptoms and medical history.
12. Can I have a flexible cystoscopy if I’m menstruating?
Yes, you can still have the procedure during menstruation. It will not affect the results or the procedure itself.
13. Will I need to take time off work?
Most patients do not need to take time off work. If your job involves heavy lifting or strenuous activity, you might consider taking the rest of the day off after the procedure.
14. Why choose Waterfront Private Hospital Edinburgh for my flexible cystoscopy?
Waterfront Private Hospital Edinburgh offers state-of-the-art equipment, experienced specialist urologists, and a supportive environment. Our focus on patient comfort, privacy, and individualised care ensures the best possible experience. Many patients from across Scotland choose us for our expertise in urological procedures and our reputation for painless cystoscopy with same-day results.
Beautiful, Immaculate & Friendly
The Waterfront is a beautiful and immaculate hospital. To me, it felt as if I were in a luxury spa. The staff are both utterly friendly and professional. The entire process was personal and seamless. Thank you.
Sandra Burns
April 2024
Author
Mr. Ammar Alhasso, GMC 4486709, is a Consultant Urological Surgeon on the GMC Specialist Register with expertise in female urology, urodynamics, and reconstructive urology. Based at the Western General and Borders General Hospitals, he brings over two decades of experience and a strong focus on patient care to the Waterfront Private Hospital team.
