Diagnostic cystoscopy is an endoscopic examination that allows exploration of the inside of the bladder and urethra using a miniaturized camera, the cystoscope, inserted through the natural passages. It provides direct visualization of the bladder wall and helps identify the cause of urinary symptoms.

It is most often performed in cases of blood in the urine, recurrent urinary infections, or persistent urinary problems, and is a reference examination for monitoring certain bladder conditions.

At the Champel Surgical Center in Geneva, diagnostic cystoscopy is performed with the latest generation of endoscopy equipment, by experienced urologists, in a safe and comfortable outpatient setting.

When to have a diagnostic cystoscopy?

• Presence of blood in the urine (hematuria), visible or detected by analysis
• Recurrent or unexplained urinary infections
• Persistent urinary problems (burning, frequent urges, difficulty urinating)
• Monitoring of a known bladder tumor or lesion
• Suspicion of urethral stricture, stone, or foreign body

The examination is indicated whenever direct exploration of the bladder is necessary to make or confirm a diagnosis.

Before the examination

Procedure of the examination

Duration: approximately 5 to 15 minutes. Anesthesia: local, by instillation of an anesthetic and lubricating gel into the urethra. Light sedation may be offered to anxious patients.

The examination is performed on an outpatient basis and requires no incision.

After the examination

Expected result: the images obtained allow the surgeon to establish an immediate diagnosis and, if necessary, to plan further management.

Follow-up

The results are explained at the end of the examination or during a dedicated consultation. A follow-up cystoscopy may be scheduled as part of monitoring for certain conditions.