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  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
  • UPNT clinics will open at a delayed time at 10 AM on 11/11-23 Secondary to the ice storm. we will continue to update on the website as conditions may change.
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Cystoscopy: What It Is and What to Expect – A Guide from UPNT

Advanced Options for Complex Renal Cysts and Masses

At Urology Partners of North Texas (UPNT), our expert urologists are committed to providing top-quality care for your bladder and urinary health. If your doctor has recommended a cystoscopy, you likely have questions. Here’s a simple, no-nonsense guide to help you understand what to expect.

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Not all kidney cysts require surgery, but certain cysts—especially those classified as Bosniak III or IV—may need intervention. Bosniak IV cysts are treated like cancer, while Bosniak III cysts are considered suspicious and often managed with partial nephrectomy.
  • Benign but symptomatic cysts causing pain, pressure, or recurrent infections may be treated with robotic cyst decortication to remove the cyst wall and restore comfort.
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What Is a Cystoscopy?

A cystoscopy is a quick, in-office procedure that lets your UPNT doctor examine the inside of your bladder and urethra using a thin, flexible tube with a tiny camera (a cystoscope).

Important: Be Prepared to Provide a Urine Sample

Before your cystoscopy, you will be asked to leave a urine sample at UPNT. This is to check for signs of infection, which could require rescheduling the procedure to prevent complications. If an infection is found, your doctor will discuss the next steps, such as antibiotics and rescheduling.

Why Might You Need a Cystoscopy?

Your UPNT urologist may recommend this procedure to:

  • Investigate urinary symptoms (burning, urgency, frequent urination)
  • Check for bladder stones, tumors, or signs of bladder cancer
  • Find the cause of blood in the urine (hematuria)
  • Diagnose chronic urinary tract infections (UTIs)
  • Assess an enlarged prostate (in men)
  • Monitor previous bladder conditions

What to Expect During a Cystoscopy at UPNT

This quick, outpatient procedure is performed right in our UPNT office and usually takes 5 to 10 minutes.

Step-by-Step Process

Step 1

Check-In & Urine Sample:

  • Be prepared to provide a urine sample before your cystoscopy.

Step 2

Preparation:

  • You’ll lie comfortably on the exam table.
  • A numbing gel is applied to your urethra to minimize discomfort.
  • No sedation is needed for most patients, but it’s available if necessary.

Step 3

Insertion of the Cystoscope:

  • A thin, flexible tube is gently passed through the urethra into the bladder.

Step 4

Bladder Expansion with Sterile Water:

  • Sterile water (or saline) is gently injected through the cystoscope into the bladder.
  • This expands the bladder, allowing your doctor to clearly examine the bladder walls.
  • You may feel a full or urgent sensation, but this is normal.

Step 5

Bladder Examination:

  • Your UPNT doctor will carefully check for any abnormalities, such as inflammation, stones, or tumors.
  • If anything unusual is found, we may recommend a repeat cystoscopy and a biopsy at a later date in a surgery center or hospital for further evaluation.

Step 6

Completion:

  • The sterile water is drained, and the cystoscope is removed.
  • You’ll be able to empty your bladder normally afterward.

Your UPNT surgeon will carefully evaluate your imaging studies and determine the best approach for you

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Does a Cystoscopy Hurt?

Most patients describe it as uncomfortable but not painful.

  • You may feel pressure, mild burning, or the urge to urinate during the procedure.
  • The numbing gel helps minimize discomfort.
  • If sedation is used, you won’t feel anything at all.
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What to Expect After Your Cystoscopy

Most patients recover quickly, but here’s what you might notice afterward:

  • Mild burning or discomfort when urinating (this should improve within a day)
  • Slight blood in urine (a little pink color is normal)
  • More frequent urination for a few hours
  • Drink plenty of water to help flush out any irritation
  • Most people return to normal activities within 24 hours

Call your UPNT doctor immediately if you experience:

  • Severe pain that doesn’t improve
  • Fever or chills (possible sign of infection)
  • Heavy bleeding or difficulty urinating

Are There Any Risks?

Cystoscopy is very safe, but like any procedure, there are small risks, including:

  • Mild bleeding (usually resolves on its own)
  • Temporary urinary discomfort
  • Urinary tract infection (UTI) (your doctor may prescribe antibiotics to prevent this)

FAQs About Cystoscopy at UPNT

Why do I need to leave a urine sample before my cystoscopy?

To check for infection, which could require rescheduling the procedure.

Most patients only need numbing gel, but sedation is available if necessary.

Most people feel fine within 24 hours, but avoid heavy lifting for a day or two.

If you only had local anesthesia, yes. If sedation was used, arrange for a ride home.

No, most patients can urinate normally right after the cystoscopy.

If we see anything concerning, we may recommend a repeat cystoscopy and biopsy at a later date in a surgery center or hospital.

Drink lots of water and follow any antibiotic instructions from your doctor.

Still have questions?
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Why Choose UPNT for Your Cystoscopy?

  • Experienced Urologists – Our UPNT specialists are highly trained in diagnosing and treating bladder conditions.
  • State-of-the-Art Equipment – We use the latest technology for fast, accurate, and comfortable procedures.
  • Patient-Centered Care – Our team ensures you feel informed and at ease every step of the way.
  • Convenient Locations – We perform cystoscopies right in our UPNT offices, so there’s no need for a hospital visit.

Schedule Your Cystoscopy at UPNT

If you need a cystoscopy or have concerns about your urinary health, our expert urologists at UPNT are here to help. We’ll guide you through the process and ensure you get the best care possible.

Schedule your consultation today

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866-367-8768
  • 5005 S. Cooper St. Suite 250 Arlington, TX 76017
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