Item Number: 36833

A day procedure under local anaesthetic, where a flexible cystoscope is placed in the bladder via the urethra to remove a stent placed with previous upper tract work

Why is it done?

To investigate:

  • Haematuria (blood in the urine)
  • Recurrent urinary tract infections
  • Dilatation of Urethral narrowing/ stricture
  • Abnormal cells suggestive of urothelial carcinoma, on urine cytology

 

Risk factors for strictures:

  • Straddle injuries
  • Catheterisation or urethral instrumentation
  • Infections
  • Bypass cardiac surgery

 

How is it done?

  • A cystoscopy is performed by placing a camera in the urethra with the help of a  lubricant jelly and saline
  • The bladder is then distended using the fluid

 

Urethral Dilatation

  • If you have a urethral stricture, a guidewire will be placed and the narrowing dilated
  • There may be some hemorrhaging and you may need a catheter for 3 days
  • This will be removed at the hospital in 3 days or alternatively arrange for your GP to remove.
  • I will review in 6 –8 weeks

 

Antibiotics may be given to prevent infection

Complications

What to expect after the procedure?

  • You may be sent home with an indwelling catheter for 3 days
  • Pain on initial passing of urine after it is removed
  • Bladder infection ranging from a burning sensation to, fever, to puss (rare)
  • Bloodstained urine
  • Lower abdominal discomfort which will persist for a few days
  • NB! Each person is unique and for this reason, symptoms vary.

 

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Copyright 2019 Dr. Jo Schoeman