This is usually performed under local anesthetic and may be used to Inspect the bladder and urethra for abnormalities, take small bladder biopsies if required, remove a ureteric stent (the tube that drains urine from the kidney to the bladder and administer Botox injections into the bladder wall.
Key Points
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Purpose: Mainly a diagnostic test.
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Uses: Can be used for biopsies, stent removal, and bladder Botox.
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Setting: Usually completed in the outpatient department under local anaesthetic.
Recovery: Mild stinging on passing urine is common afterwards; significant complications are rare
Consultation
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Your medical history and current medications will be reviewed by a member of the London Urology Collective team.
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The procedure will be explained in full, and consent will be confirmed.
Procedure Details
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Anaesthetic: The procedure is usually done under local anaesthetic.
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Antibiotics: You may receive antibiotics beforehand if appropriate and after checking allergies.
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Local Anaesthetic Jelly: Instilled into the urethra to maximise comfort.
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Insertion of the Cystoscope: The flexible cystoscope is gently placed into the urethra and advanced into the bladder.
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Bladder Inspection: Sterile water is used to fill the bladder slightly, allowing the urologist to clearly examine the bladder lining.
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Biopsy/Stent Removal: If required, a biopsy may be taken or a stent removed using the cystoscope.
During the Procedure
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Duration: The examination usually takes only a few minutes.
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Support: A nurse will be present throughout to help and reassure you.
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Completion: Once the inspection is finished, the cystoscope is removed. You will then be able to urinate, wash, and get dressed.
After the Procedure
Immediate Effects
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Mild burning or a small amount of bleeding when passing urine is common for a short time.
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The risk of infection requiring antibiotics is between 1 in 50 and 1 in 100 patients.
Going Home
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Hydration: Drink twice your usual amount of fluids for the first 24–48 hours to help flush the bladder.
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When to Seek Help: Contact your GP or the London Urology Collective urgently if you experience:
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Fever or shivering
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Severe lower abdominal or pelvic pain
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Difficulty passing urine
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Persistent or worsening bleeding
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Medications: Any required antibiotics or medications will be provided by the hospital.
Follow-Up: A follow-up appointment may be arranged to discuss results and next steps.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
When to Seek Specialist Advice
You may benefit from a consultation if you experience:
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Persistent blood in urine (visible or microscopic)
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Ongoing urinary symptoms (burning, urgency, frequency) without clear cause
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Recurrent urinary tract infections (UTIs)
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Difficulty urinating (weak stream, hesitancy, incomplete emptying)
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Suspected bladder, urethral, or prostate abnormalities
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Unexplained pelvic or lower abdominal pain
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Abnormal findings on urine tests, ultrasound, or imaging
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History of bladder conditions or prior urological procedures requiring follow-up
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Urinary retention or inability to pass urine — urgent
Early assessment can provide reassurance and allow timely treatment where needed.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.