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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