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Cystoscopy to Diagnose Prostate Cancer  


Prostate cancer, common among men above the age of fifty, needs early diagnosis to increase chance of survival.  Amongst various ways to diagnose prostate cancer, Cystoscopy is one of the prominent diagnostic methods. 


Cystoscopy Test 


Cystourethroscopy, more commonly known as the Cystoscopy, is a test that helps to gauge the health of the bladder and the urethra. A tube is inserted through the opening of the penis into the urethra of the patient. This procedure helps the doctor to completely examine the urethra of the patient. Any kind of abnormal growth, strictures or other problems in the bladder get diagnosed by this test. 


Cystoscopy is precisely done to:   

  • identify reason behind the pain in the urinary tract 
  • diagnose any cancerous growth in the urethra or the bladder 
  • identify onset of any disease in the urinary tract. 

Cystoscopy is done with the help of a tubular instrument called as cystoscope. This device has in-built lights and other viewing devices that help the examiner to study the interior portion of the urinary tract. There are two kinds of cystoscope. One is the rigid standard cystoscope and the other is the flexible one. Depending on the type of the examination desired, the examiner selects the appropriate device. Irrespective of the type of the cystoscope used, the test gives uniform results.


Procedure Involved 


The patient is asked to lie on the back with his knees up and apart. This posture is maintained at the time of using standard cystoscope. The urethra of the patient is cleaned and the anesthetic gel is applied to numb the area. After this, the cystoscope is inserted into the bladder through the urethra. However if the doctor is going to use the flexible cystoscope, the patient need not be in this uncomfortable position. Water is then inserted into the bladder with the help of the cystoscope. Once the bladder is full, it expands and the doctor is able to examine the inflated bladder in a better way. This way the entire wall of the bladder can be examined. 


If any abnormal tissue is found in the bladder, the doctor takes a sample of the tissue with the help of the cystoscope. This sample is then sent for biopsy. Though the procedure will not take more than twenty minutes, the patient may feel little discomfort and inconvenience. If there is any infection or bleeding after conduction of Cystoscopy, it can be resolved easily.  


Risks Involved in Cystoscopy 


Though Cystoscopy is a safe procedure, there are few minor risks involved. Let us know about them so that they can be handled easily:

  • There can be risk of tear or perforation that can occur along the urinary tract, bladder, urethra, or ureter.  
  • Cystoscopy can cause a scar tissue that can lead to a stricture (narrowing) of urethra, consequently leading to difficult urination.  
  • There can also be the problem of swelling or pain in the testicles. Though this risk is rare to occur, it has to be considered.  
  • Sometimes Cystoscopy can also cause urinary retention followed by distended bladder.