Flexible cystoscopy (camera test of the bladder)Flexible cystoscopy (bladder ka camera test)

Yeh test kya hai aur kyun kiya jata hai

Cystoscope aik patli doorbeen hai jis ki nok par roshni aur chhota camera hota hai. Mudne wali qism peshab ki nali (urethra) se guzarte hue mud jati hai, is liye purani sakht qism se zyada aaramdeh hoti hai. Tasveerein screen par nazar aati hain.

Yeh peshab mein khoon ki wajah dhoondne, bladder mein gaanth ya pathri dekhne, peshab ki nali ki tangi ya prostate se rukawat jaanchne, baar baar infection ya peshab mein dard ki wajah maloom karne, aur bladder ke masail ke ilaaj ke baad nigrani ke liye kiya jata hai, jin mein bladder cancer bhi shamil hai. Scan koi masla dikha sakta hai, lekin sirf cystoscopy mein doctor bladder ki andar ki parat ko seedha dekhta hai.

Flexible cystoscopy dekhne ka test hai. Agar koi masla nazar aaye jis ka ilaaj ya bara sample chahiye ho to woh aam tor par alag procedure hota hai, aksar bay-hoshi ki dawa ke saath.

Test se pehle

• Pehle peshab ka test hota hai. Agar aap ko peshab ka infection ho to test aam tor par us ke ilaaj tak taal diya jata hai, kyunke camera infection ko barha sakta hai (dekhein peshab ke tests ki guide).
• Khoon patla karne wali dawayein aur kisi bhi allergy ke baare mein team ko batayein. Meherbani karke apne taur par koi dawa band na karein. Aap ka urologist batayega ke kya karna hai.
• Khaana peena: aam tor par khaali pait rehne ki zaroorat nahi, lekin jo hidayaat milein un par amal karein. Aam tarah paani peena madadgar hai.
• Aap se test ke liye razamandi (consent) maangi jayegi jab doctor use samjha dega. Sawalaat poochhne ka yehi waqt hai.
• Bay-hoshi ya sedation ki zaroorat nahi. Aap thori der baad ghar ja sakte hain, lekin gaari chalane aur kaam par wapas jane ke baare mein team se poochh lein.
• Pehle ke scans, peshab ki reports aur pehle cystoscopy ki koi report saath layein. Qeemat aur test kahan hota hai, yeh bhi poochh lein.

Test ke dauran

Aap peeth ke bal letay hain. Peshab ki nali ke dahaane ke aas paas ki khaal saaf ki jati hai.

Sunn karne wali gel

Peshab ki nali mein sunn karne wali gel lagayi jati hai. Mardon mein use thori der rakha jata hai taake poori nali sunn ho jaye. Auraton mein nali bohat chhoti hoti hai, is liye kam waqt lagta hai. Gel pehle thori chubh sakti hai.

Doorbeen

Doorbeen aahista se peshab ki nali se guzar kar bladder mein jati hai. Mardon mein prostate aur peshab rokne wali muscle se guzarte hue takleef ho sakti hai. Aahista saans lena aur muscles ko dheela chhodna ise aasaan banata hai. Zyadatar log ise takleefdeh lekin dard-rahit bayan karte hain.

Saaf paani doorbeen se guzaara jata hai taake bladder phail jaye aur parat nazar aaye. Is se peshab aane ka ehsaas hota hai, jo aam baat hai. Doctor poora bladder dekhta hai. Agar kisi jagah ko qareeb se dekhna ho to doorbeen ke zariye aik chhota sample (biopsy) liya ja sakta hai, jis ka ehsaas aam tor par bohat kam hota hai. Peshab ka sample bhi cells ke liye liya ja sakta hai. Kabhi aik hi test mein stent ki jaanch ya nikaalna bhi ho jata hai.

Test mukhtasar hota hai. Aap chahein to screen dekh sakte hain. Bas poochh lein.

Test ke baad

Jalan aur thora sa khoon

• Peshab mein jalan ya chubhan, zyada baar peshab aana, aur thora sa khoon aam hai. Yeh aam tor par aik do din mein theek ho jata hai.
• Bohat paani peeyein siwaye is ke ke aap se paani kam karne ko kaha gaya ho. Is se bladder dhulta hai aur chubhan kam hoti hai.
• Agar biopsy li gayi ho to chand din khoon thora zyada aa sakta hai.
• Zyadatar log aam tarah khaa pee sakte hain aur din guzaar sakte hain. Agar biopsy li gayi ho to bhaari cheez uthane ya jinsi taluq ke baare mein team se poochh lein.

Mumkina khatrat

• Aam: chubhan, zyada baar peshab aana, aur thori der ke liye peshab mein thora sa khoon.
• Kam aam: peshab ka infection jis mein jalan barhti jaye, bukhar ya bimar mehsoos karna, jis ka aam tor par ilaaj chahiye hota hai.
• Bohat kam: zyada khoon behna ya lothray, thori der ke liye peshab na kar paana, peshab ki nali ya bladder ko chot, ya baad mein peshab ki nali ka tang ho jana.

Barhi hui prostate wale mardon ko test ke baad thori der ke liye peshab karna mushkil hone ka imkaan zara zyada hota hai.

Aap ke nateeje

Doctor aksar test ke foran baad bata sakta hai ke us ne kya dekha. Jo nazar aa sakta hai:

• Normal bladder ki parat. Saaf, gulabi, baareek khoon ki nalion ke saath. Agar aap ko peshab mein khoon aaya tha to wajah ki talaash doosray tests se jari rehti hai.
• Pathri, surkhi (sozish) ya peshab ki nali ki tangi, ya barhi hui prostate jo raasta rok rahi ho.
• Parat mein koi gaanth. Is ka matlab hamesha cancer nahi hota, lekin kuch gaanthein cancer hoti hain, isi liye hum dekhte hain. Aap ka urologist batayega ke kya nazar aaya, sample lega, aur agla qadam tay karega (dekhein bladder cancer guide).

Agar biopsy ya peshab ka sample liya gaya ho to nateeja laboratory se aata hai aur is mein zyada waqt lagta hai. Poochh lein ke kab aur kaise aap ko bataya jayega, aur yaqeeni banayein ke aap ko mile. Koi bhi report apne urologist ke paas layein.

Aam sawalaat

What it is and why it is done

A cystoscope is a thin telescope with a light and a tiny camera at the tip. The flexible type bends as it passes along the urine tube (the urethra) into the bladder, which makes it more comfortable than the older rigid type. The pictures appear on a screen.

It is done to look for the cause of blood in the urine, to look for growths or stones in the bladder, to check for a narrowing of the urine tube or a blockage from the prostate, to find the reason for repeated infections or pain when passing urine, and to follow up after treatment of bladder problems, including bladder cancer. A scan can suggest a problem, but only a cystoscopy lets the doctor see the lining of the bladder directly.

Flexible cystoscopy is a test to look. If a problem is seen and needs treatment or a larger sample, that is usually done as a separate procedure, often under anaesthetic.

Before the test

• A urine test comes first. If you have a urine infection, the test is usually delayed until it has been treated, because the camera can make an infection worse (see the urine tests guide).
• Tell the team about blood thinners and about any allergies. Please do not stop any medicine on your own. Your urologist will tell you what to do.
• Eating and drinking: you usually do not need to fast, but follow the instructions you are given. Drinking normally helps.
• You will be asked to agree to the test (consent) after the doctor explains it. This is the time to ask questions.
• You do not need an anaesthetic or sedation. You can go home soon afterwards, but ask the team about driving and about when you can return to work.
• Bring previous scans, urine reports and any earlier cystoscopy reports. Ask about the cost and where the test is done.

During the test

You lie on your back. The skin around the opening of the urine tube is cleaned.

The numbing gel

A numbing gel is put into the urine tube. In men it is held there for a short while so that it numbs the whole length of the tube. In women the tube is much shorter, so it takes less time. The gel may sting a little at first.

The telescope

The telescope is passed gently along the urine tube into the bladder. In men it can feel uncomfortable as it passes the prostate and the muscle that controls urine. Breathing slowly and letting your muscles go loose makes it easier. Most people describe it as uncomfortable but not painful.

Clear fluid is run through the telescope to stretch the bladder so that the lining can be seen. This makes you feel that you need to pass urine, which is normal. The doctor looks around the whole bladder. If something needs a closer look, a tiny sample (biopsy) can be taken through the telescope, which is usually felt very little. A urine sample for cells may also be collected. Sometimes a stent is checked or removed at the same test.

The test is short. You can usually watch the screen if you wish. Just ask.

After the test

Stinging and a little blood

• Stinging or burning when passing urine, needing to pass urine more often, and a little blood in the urine are common. They usually settle within a day or two.
• Drink plenty of fluids unless you have been told to limit them. This washes the bladder and helps the stinging to settle.
• If a biopsy was taken, there may be a little more blood for a few days.
• Most people can eat, drink and go about their day as usual. Ask the team about heavy lifting or sex if a biopsy was taken.

Possible risks

• Common: stinging, passing urine more often, and a little blood in the urine for a short time.
• Less common: a urine infection with burning that gets worse, fever or feeling unwell, usually needing treatment.
• Rare: heavy bleeding or clots, being unable to pass urine for a time, injury to the urine tube or the bladder, or a narrowing of the urine tube later.

Men with an enlarged prostate are slightly more likely to find it hard to pass urine for a short time afterwards.

Your results

The doctor can often tell you what they saw straight after the test. What they may see:

• A normal bladder lining. Smooth, pink, with fine blood vessels. If you had blood in the urine, the search continues with other tests.
• A stone, redness (inflammation) or a narrowing of the urine tube, or an enlarged prostate blocking the way.
• A growth in the lining. This does not always mean cancer, but some growths are cancer, which is why we look. Your urologist will explain what was seen, take a sample, and plan the next step (see the bladder cancer guide).

If a biopsy or a urine sample was taken, the result comes from the laboratory and takes longer. Ask when and how you will be told, and make sure you receive it. Take any report to your urologist.

Common questions