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Urological Surgeons

Flexible Cystoscopy

To download a PDF document about ‘flexible cystoscopy’ please click:

  • The procedure involves passing a Flexible Cystoscope (a fine, fibre-optic telescope) through the urethra (water pipe) into the bladder.
  • This allows the doctor to have a look along the length of the urethra and inspect the inside of your bladder.
  • It may be performed to diagnose the cause of symptoms you have been experiencing, to evaluate the progress of an existing condition, or to remove a ureteric stent.
  • The procedure itself takes 5-10 minutes.

What are the benefits of having this done in the rooms?

  • It can be organised easily and quickly, with minimal paperwork compared to a hospital admission for you to fill out.
  • Any problems seen that need further treatment can be identified with greater speed and efficiency.
  • It does not require admission to hospital or the services of an anaesthetist, so overall will usually be less costly.

What are the costs involved?

  • When you are booked for a flexible cystoscopy in the rooms, the staff will provide you with an Informed Financial Consent outlining the cost of the procedure, and the rebate you will receive from Medicare.
  • A urine sample will be sent for testing before your procedure to make sure you do not have an infection in your bladder. You will be given a pathology slip when your procedure is booked and you will uneed to do this test 5 days before the day of your procedure.

  • It is very important that the urine test is performed and that the result is received PRIOR to your cystoscopy.

  • You do not need to fast, so you can eat and drink normally before coming to our rooms on the day of your procedure.

  • You should take all your normal medications (including diabetic medications) unless we have given you specific instructions otherwise.
  • Once you have arrived in the rooms and we are ready to start your procedure, you will be asked to empty your bladder.
  • You will then be taken into our treatment room. We will get you to remove your lower clothing and underwear and to lie on your back on the examination table.
  • Once you are comfortably positioned, the opening of the urethra will be cleaned with antiseptic solution and a sterile drape placed over the lower half of your body.
  • Anaesthetic gel will be placed around and into the urethra to numb the area.
  • The doctor will pass the sterile flexible cystoscope through the urethra and into your bladder.
  • Water will be run through the cystoscope into your bladder as this helps give a better view of the bladder.
  • You may feel like you want to pass urine as your bladder fills. If at any time you feel uncomfortable, please let us know.
  • If you have a stent in place that is to be removed, a fine grasper will be passed down the cystoscope to hold on to it. The stent will then come out easily when the cystoscope is taken out of the bladder.
  • The doctor will explain their findings and let you know what the plan is for you.
  • You will be able to empty your bladder once the procedure is over then you can get dressed.
  • Our administrative staff will organise further appointments for you as required, depending on the doctor’s instructions.
  • You can drive and return to work after your procedure if you wish.
  • You can eat and drink normally but you should drink plenty of fluids for the rest of the day and the following day to help flush the bladder.
  • You can resume sexual activity as soon as you feel comfortable to do so.


Possible side effects or complications:

  • You may notice some side effects after the procedure, which can begin 2-4 hours after and last for 1-2 days. These can include:

    • burning when passing urine
    • blood or small clots in the urine
    • frequency or urgency passing urine

  • These side effects may not be evident and will usually be mild if they are present.
  • You can take Paracetamol to help with general discomfort or Ural sachets for urinary symptoms.


You must contact West Coast Urology if you have any concerns after your procedure or if any of the following symptoms occur:

  • blood in the urine, painful or frequent urination lasting more than 2 days
  • urine which is cloudy or smells offensive
  • fever (greater than 38.5°) and chills
  • difficulty or inability to pass urine

Please do not hesitate to contact our Specialist Urology Nurses on 5229 8550 in office hours if you have any questions or concerns in regard to this treatment.