What should you know about BAUS rigid cystoscopy?

Unlike a flexible examination commonly used for inspection, a rigid instrument can also allow a biopsy, removal of a small abnormal area or another planned procedure. Anaesthesia is usually needed, and the exact plan depends on why the bladder is being examined.

The instrument enters through the urethra, so no abdominal incision is required. Sterile fluid may be used to expand the bladder and improve the view. Tissue removed during the procedure can be sent to a laboratory, which means the final interpretation may arrive after the day of the examination.

A recommendation for cystoscopy does not itself establish a cancer diagnosis. It can investigate blood in the urine, urinary symptoms, an abnormal scan or a previously identified bladder condition.

Follow the hospital's fasting and medicine instructions, especially guidance about blood-thinning medicines and diabetes treatment. Tell the team about allergies, pregnancy, recent urine infections and any previous difficulty with anaesthesia. Arrange transport and support at home if sedation or a general anaesthetic is planned.

Mild burning when passing urine, a frequent urge to urinate and a small amount of blood can occur afterward. Use the prescribed pain relief, drink according to the team's advice and check when normal activity, driving and work can resume.

Seek urgent medical advice if you cannot pass urine, bleeding is heavy or contains clots, pain is severe or worsening, or you develop fever, chills, vomiting or increasing weakness. These features can indicate urinary blockage, significant bleeding or infection and should not wait for a routine follow-up.

Ask whether the procedure is for inspection, biopsy or treatment; which anaesthetic is planned; how medicines should be managed; and when results will be discussed. It is also useful to confirm who to call after discharge and which urinary changes the team expects in your individual case.