Cystoscopy of the bladder in women - how to do?

This kind of procedure, like a bladder cystoscopy performed in women, is a hardware study in which the condition of the mucous membrane of the bladder and urethra is evaluated. To perform manipulation, the doctor uses a special device, a cystoscope, which has an optical tip with a video camera, the information from which is transmitted to the monitor. Let's take a closer look at this study and talk about how to do cystoscopy of the bladder in women.

What are the main indications for such a study?

There are many reasons and factors in which it is indispensable to diagnose a disease without a cystoscope. So, to help this device resorted to:

• the presence of suspected infections of the genitourinary system;
• the presence in the urine of blood impurities or pus (pyuria, hematuria );
• increased urge to urinate;
• the appearance of atypical cells in the analysis of urine;
• chronic painful sensations in the area of ​​a small pelvis of incomprehensible origin;
• urolithiasis;
• suspicion of the presence of neoplasms in the bladder or urethra.

How is preparation for cystoscopy of the bladder in women?

Even before the manipulation is carried out, the doctor, as a rule, explains the algorithm for its implementation to the patient, and also gives recommendations on how to prepare for the study.

So, any restrictions in the diet when carrying out cystoscopy should not be adhered to. However, directly on the day of the procedure, you can not eat food; spend it on an empty stomach.

Also, immediately before the implementation of cystoscopy, a woman should refrain from urinating, at least 1 hour before the examination.

A special role in the preparation for the study is played by the observance of antiseptic measures. The woman, before the introduction of the sensor, completely processed the external genitalia, which excludes the possibility of infection.

Immediately before the start of the study, a woman, as a rule, undergoes local anesthesia. However, with the so-called operational cystoscopy, regional or general anesthesia is performed (for biopsy, for example).

How is bladder cystoscopy performed in women?

The patient is offered to stay in a gynecological chair. After that, the external genitalia and the perineum are treated with an antiseptic. Only after this, an anesthetic is injected into the lumen of the urethra.

The tip of the cystoscope is treated with sterile vaseline, after which the doctor carefully inserts it slowly into the opening of the urethra. If anesthesia is performed correctly, a woman practically does not feel anything.

After the introduction of a specialist begins to gradually move the cystoscope towards the bladder. Simultaneously, at the same time, saline is added to the channel of the device, which improves the quality of the image obtained on the monitor. It is very important to monitor the filling of the bladder, so as not to overfill it. In view of this factor, a woman can complain of the urge to urinate, discomfort. To exclude these nuances, many specialists choose spinal anesthesia, when the woman does not feel anything completely, but is conscious. The duration of the procedure itself usually does not exceed 20-30 minutes.

What complications are possible after the study?

Often in women after a cystoscopy of the bladder, the appearance of blood in the excreted urine. This fact does not require medical assistance, and is caused by trauma to the mucous membrane of the urethra.

It is also worth noting that conducting such a study can provoke an exacerbation of the existing chronic infectious diseases of the genitourinary system.