UROLOGIC OPERATION 5 Cystoscopy

Cystoscopy

Objective

In case of:

•   Hematuria and urinary infection.

•   Interior of the urethra, the bladder and the ureteral orifices are viewed.

Position

Lithostomy.

Anesthesia

Local, spinal or general.

Procedure

1.  Urethra may be dilated initially with a sound.

2.  Lubricated cystoscope is inserted in the urethra.

3.  Urethra is inspected as the cystoscope is advanced into the bladder.

4.  The obturator is removed.

5.  Bladder is filled with irrigation fluid, and under direct visualization the bladder, ureteral orifices, bladder neck, and urethra are examined.

Instruments and Supplies

•   Urethral sounds (Fig. 11.3)

•   Cystoscope (telescope, obturator and sheath) (Fig. 8.138)

•   Fiberoptic light cord

•   Stopeock

•   Hemostat

•   Syringe (30 ml)

•   Medicine glass, syringe (10 ml), penile clamp (for topical anesthetic instillation)

•   Graduated pitcher (to measure residual urine)

•   Topical anesthetic, e.g. lidocaine (Anestacon)

•   Lubricant (KY jelly).

Any questions be sent to drmmkapur@gmail.com

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