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A cystoscopy is a medical procedure in which a thin, flexible tube with a camera (cystoscope) is inserted into the urethra and guided up into the bladder to examine the urinary tract. The procedure can be done with either general anesthesia (where you are unconscious) or local anesthesia (numbing only the area being examined).

If you are scheduled for a cystoscopy with only local anesthesia, here's what you can generally expect:

  1. Preparation: Before the procedure, you will likely be asked to empty your bladder and change into a hospital gown. The medical staff will explain the procedure, its purpose, and what you can expect.

  2. Local Anesthesia: To numb the area, a topical numbing gel or a local anesthetic will be applied to your urethra. This helps minimize any discomfort during the insertion of the cystoscope.

  3. Cystoscope Insertion: Once the anesthesia takes effect, the urologist will gently insert the cystoscope through your urethra and advance it into your bladder. The cystoscope contains a light and a camera, allowing the doctor to visualize the bladder lining and the urethra.

  4. Examination: During the procedure, the urologist will inspect the bladder wall for any abnormalities, such as inflammation, tumors, or stones. They may also perform procedures like taking biopsies or removing small stones if necessary.

  5. Sensations: You may feel pressure or discomfort when the cystoscope is inserted and advanced. Some people report a mild burning sensation when the anesthesia is applied. However, since the area is numbed, the actual procedure itself is generally tolerable.

  6. Communication: It's essential to communicate with your doctor during the procedure. If you experience any severe pain or discomfort, inform them immediately so that adjustments can be made if necessary.

  7. Duration: The procedure typically takes around 5 to 15 minutes to complete.

  8. After the Procedure: After the cystoscopy is done, the cystoscope is removed, and you may be allowed to empty your bladder. You might experience mild discomfort or a temporary burning sensation while urinating, which should subside relatively quickly.

  9. Recovery: You should be able to resume your regular activities after the procedure. However, your doctor might recommend avoiding strenuous activities for a day or two.

It's important to remember that individual experiences can vary. While most people find the procedure with local anesthesia manageable, some may still find it uncomfortable or distressing. If you have any concerns or questions about the procedure, don't hesitate to discuss them with your healthcare provider before the cystoscopy. They can provide more personalized information and address any specific concerns you may have.

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