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Cystourethroscopy Procedure



 Submitted by Nic on August 13, 2011
“What is a cystourethroscopy procedure how is it performed?” are commonly asked questions. A cystourethroscopy procedure or a cystoscopy procedure is a procedure used to see inside the urinary bladder and urethra.  The cystourethroscopy CPT code is 52000. During a cystourethroscopy procedure, a cystoscope or a hollow tube is inserted into your urethra and then slowly moved along into your bladder. This cystoscope has a lighted tip which enables the doctor in diagnosing urinary tract disease and prostrate disease. A cystourethroscopy procedure may be recommended for the following reasons:-

- When there is blood in the urine
- To check for the presence of bladder or kidney stones
- There are symptoms of an enlarged prostrate
- There is a urinary tract infection
- An ability to control urination ( incontinence)
- To check if there are tumors in the bladder
- To examine a urinary tract that displays signs of congenital abnormalities

Keep in mind that the cystourethroscopy technique is regarded as an endoscopic procedure and is therefore an invasive surgical technique. It may therefore carry some risks for patients who undergo this cystourethroscopy procedure.  These risks include profuse bleeding, a perforated bladder, an injured penis, a urinary tract infection, or a damaged urethra.

Let us now look how a cystourethroscopy is carried out. You will be asked to empty your bladder before the cystourethroscopy procedure. You will then have to lie down on a table, flat on your back. If necessary, your feet may be put in stirrups so that your knees are bent and elevated. Cystoscopy can be performed under local, spinal or general anesthesia. If a local anesthetic will be used, the anesthetic jelly will be inserted into your urethra. If you are undergoing general, the anesthesia may be given through an IV or by inhaling gas through a mask. A spinal anesthesia will be given in your back. Once the anesthesia has taken affect, a cystoscope which is well lubricated will be inserted into your urethra and slowly moved into your bladder. Once it is inside your bladder, saline or sterile water will be injected to expand the bladder and give the urologist a better view. Tiny instruments may also be inserted to collect tissue samples, for biopsy. A dye may also be injected to take x-rays. The entire procedure may take up to 45 minutes or even longer. However, the cystoscope remains inside your bladder for only about 2-10 minutes. The cystoscope is removed after all tests are completed.
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