Flexible Transurethral Cystoscopy
Flexible transurethral cystoscopy is an endoscopic examination that enables direct assessment of the interior of the urinary bladder and urethra. A flexible cystoscope adapts better to the natural curves of the urinary tract than a rigid instrument — the examination is well tolerated. At Wyspa Medycyny Przyjaznej in Gdańsk, the examinations are performed by urologists with experience in diagnosing and treating urinary tract conditions.
Registration: Mon–Fri 9:00–20:00. Gdańsk, ul. Toruńska 15. Price: urology price list →
| Type of examination | endoscopic bladder and urethra examination |
| Instrument | flexible cystoscope with camera |
| Anesthesia | local anesthetic gel |
| Examination duration | several to a dozen or so minutes |
| Hospitalization | not required |
| Price | from 1,500 PLN |
dr n. med. Kłącz, Gondek, Krukowski, Abbazov
urinary bladder and urethra assessed in real time
no hospitalization, return home the same day
the doctor discusses findings after the examination, biopsy possible during the procedure
What is flexible transurethral cystoscopy?
Flexible transurethral cystoscopy is an endoscopic examination in which a urologist inserts a flexible cystoscope through the urethra into the urinary bladder. The cystoscope is equipped with a camera and light source, enabling direct assessment of the bladder mucosa and urethra in real time. In selected cases — e.g., when a neoplastic change is suspected — tissue can be collected for histopathological examination without the need for a separate procedure.
The examination can be performed during a urological consultation if the doctor deems it indicated based on symptoms and test results.
Flexible vs. rigid cystoscopy — what are the differences?
Flexible and rigid cystoscopy serve the same purpose — assessing the interior of the urinary bladder and urethra — but differ in instrument and range of possible interventions. A flexible cystoscope adapts better to the natural curves of the urinary tract, which is particularly important in men due to the anatomical structure of the urethra. The examination with a flexible instrument is generally well tolerated and does not require general anesthesia. A rigid cystoscope is used primarily for procedures requiring a wider range of instrumentation — e.g., tumor removal or treatment of urinary stones. The choice of method depends on the clinical indication and the urologist's assessment.
Indications for flexible cystoscopy
A urologist may order flexible transurethral cystoscopy in the following situations: hematuria (blood in urine) requiring evaluation of the cause, recurrent or chronic urinary tract infections, lower urinary tract symptoms (frequent or painful urination, feeling of incomplete bladder emptying), suspected neoplastic change of the urinary bladder or urethra, and follow-up after previous urological treatment (including after bladder tumor removal). The indication for the examination is determined individually by the doctor based on symptoms, medical history, and other test results.
How does the examination proceed?
Before the examination, the doctor informs the patient about the procedure and provides necessary recommendations. A gel with a local anesthetic is applied to the urethra, reducing discomfort during cystoscope insertion. The examination itself usually takes several to a dozen or so minutes — the doctor examines the bladder mucosa, urethra, and ureteral orifices, and discusses the results with the patient immediately after the procedure. The examination is outpatient and does not require hospitalization.
Recovery after the examination
Immediately after cystoscopy, the patient may experience mild discomfort when urinating or notice a small amount of blood in the urine — these are typical reactions that usually resolve within a few days. Adequate hydration and avoiding intense physical activity for a short time after the examination are recommended. Detailed recommendations are provided by the doctor.
Risk, complications, and when to contact a doctor
Flexible cystoscopy is a well-tolerated diagnostic procedure; however — like any endoscopic examination — it may involve the risk of complications. The doctor discusses these before the examination.
During urination for a few days after the examination. Usually resolves on its own.
A small amount of blood in the urine after the examination is common and transient. Resolves after a few days.
Possible after any endoscopic procedure. Requires contact with a doctor if symptoms of infection appear.
Rare complication, possible in difficult anatomical conditions or lack of patient cooperation during the examination.
Increasing pain, severe hematuria with blood clots, fever, chills, or difficulty urinating after cystoscopy — these are symptoms requiring urgent contact with a doctor or emergency room visit. Mild discomfort resolving within a few days is typical and does not require urgent intervention.
Contraindications to flexible cystoscopy
The examination is not performed, among other reasons, in cases of acute urinary tract infection (risk of spreading the infection), active urethral injury, or conditions significantly increasing the risk of complications — e.g., severe coagulation disorders. Each case is individually assessed by the urologist during a consultation, taking into account clinical indications, medical history, and the patient's health status.
Urologists performing the examination — Wyspa Medycyny Przyjaznej, Gdańsk
Urologist with experience in diagnosing and treating urinary tract conditions, including performing transurethral cystoscopy.
Urologist specializing in the diagnosis and treatment of urinary tract conditions in men and women.
Urologist with experience in endoscopic diagnostics and treatment of urinary bladder, prostate, and urethra conditions.
Urologist specializing in the diagnosis and treatment of urinary tract conditions.
Book a urological examination or consultation in Gdańsk
dr n. med. Kłącz · Gondek · dr n. med. Krukowski · lek. Abbazov
Gdańsk, ul. Toruńska 15 · Mon–Fri 9:00–17:00
Frequently Asked Questions — Flexible Transurethral Cystoscopy
How does flexible cystoscopy differ from rigid cystoscopy?
Flexible cystoscopy uses a flexible instrument that adapts to the curves of the urinary tract — it is generally better tolerated, especially by men. Rigid cystoscopy allows a wider range of interventions (e.g., tumor removal) but requires more extensive anesthesia. The choice of method depends on the indication and the doctor's assessment.
Does flexible cystoscopy hurt?
A gel with a local anesthetic is applied to the urethra, which reduces the experienced discomfort. The examination may be felt as mild pressure or an urge to urinate, but is generally well tolerated. Mild discomfort during urination is possible for a few days after the examination.
What risks are associated with flexible transurethral cystoscopy?
The most common effects after the examination are transient discomfort and hematuria resolving within a few days, as well as the risk of urinary tract infection. Less commonly, complications such as urethral injury may occur. Fever, worsening pain, or increasing hematuria after the examination require urgent contact with a doctor.
How to prepare for cystoscopy?
The doctor provides detailed recommendations before the examination during a consultation. It is standard to inform the urologist about medications being taken (especially blood thinners) and any allergies. No special gastrointestinal preparation or general anesthesia is required.
Is cystoscopy a diagnostic or therapeutic examination?
Flexible cystoscopy serves primarily for diagnostics — it enables direct assessment of the bladder mucosa and urethra. In selected cases, e.g., when a tumor is suspected, tissue can be collected during the same examination for histopathological evaluation. The decision about the scope of the examination depends on the indication and the urologist's assessment.
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Details →Flexible Transurethral Cystoscopy — Gdańsk
dr n. med. Kłącz · Gondek · dr n. med. Krukowski · lek. Abbazov
Gdańsk, ul. Toruńska 15 · Mon–Fri 9:00–17:00 · tel. 600 006 913
The information on this page is for general educational purposes only and does not replace a medical consultation. The indication for flexible transurethral cystoscopy, the scope of the examination, and further management are determined individually by the urologist based on symptoms, medical history, and test results. After the examination, contact your doctor if you experience fever, increasing pain, or severe hematuria. Wyspa Medycyny Przyjaznej, ul. Toruńska 15 lok. AU1, Gdańsk. Tel.: 600 006 913.
How to Prepare for Flexible Transurethral Cystoscopy?
Recommendations Before Flexible Transurethral Cystoscopy
Before the procedure, patients should:
- Avoid eating and drinking for several hours if anesthesia is planned.
- Inform the doctor about all medications being taken and any allergies.
- Consult the doctor regarding temporary discontinuation of anticoagulant medications.
Diagnostics with a flexible cystoscope can be performed during the first urological consultation.
Flexible Transurethral Cystoscopy FAQ
Frequently Asked Questions About Flexible Transurethral Cystoscopy
Is flexible transurethral cystoscopy painful?
The procedure is performed using local anesthetic gel, which minimizes pain and discomfort.
How long does the procedure take?
The procedure typically takes 10 to 30 minutes, depending on the purpose of the examination and any additional actions required.
Can I return to normal activities after the procedure?
Yes, most patients can resume daily activities almost immediately after the procedure. However, it is recommended to avoid intense physical activity for a few days.
What are the possible complications?
Although rare, possible complications include urinary tract infections, hematuria, and urethral injuries.
Do I need to fast before the procedure?
Fasting is not required if the procedure is performed with local anesthesia.