Cystoscopy precautions include pre-test, during-test and post-test precautions.
Before the examination, it is necessary to clarify whether the patient is suitable for cystoscopy, to understand the possible complications of the examination, and to prepare for the examination.
Cystoscopy cannot be performed for urethral stricture, acute inflammation of the bladder or small bladder capacity. Patients with urethral stricture or stone impaction in the urethra may not be able to insert a cystoscope. Cystoscopy for inflammatory bladder conditions may result in the spread of inflammation. If the bladder is too small, such as with tuberculosis, there is a risk of piercing the bladder during cystoscopy. Cystoscopy should also be avoided in women who are menstruating or more than 3 months pregnant. Caution should also be exercised in patients with co-morbid cardiovascular disease and other serious chronic diseases.
Preparation for the examination includes routine urinalysis to rule out acute inflammation of the urinary system and emptying the bladder a moment before the examination to help the examining physician understand the residual bladder urine situation. During the examination, cystoscopy may cause pain and a sense of urination, so you should pay attention to relax as much as possible, take deep breaths, and never move your body to cause unnecessary injury. After the examination, you should pay attention to the urination and urine properties. If there is cloudy urine, difficulty in urination, persistent hematuria or even blood clot formation, as well as back pain and fever, you should seek medical attention promptly.
Cystoscopy is suitable for lower urinary tract diagnosis and can also be used for upper urinary tract disease diagnosis and treatment. A full understanding of the precautions can improve the safety of the examination.