Tsistoskopiya

Tsistoskopiya is a research of a bladder by means of the special tool of the cystoscope from within. Some changes of an urethra and bubble – ulcers, polyps and other defeats mucous cannot be seen on ultrasonography therefore in some cases appoint a tsistoskopiya as more detailed inspection. So reveal tumors, stones, inflammations, bladder injuries.

Of a bladder it is possible to call Tsistoskopiya not only the diagnostic, but also therapeutic procedure – with its help the doctor can remove a tumor or papilloma, to make electrothermic coagulation (cauterization) of a simple ulcer on mucous a bubble, to execute a section of the mouth of an ureter, to enter into a bubble by means of a prick necessary medicine, to execute bougieurage or catheterization of an ureter, to shatter and bring out of it stones, to make an electroresection of cancer or adenoma of a prostate (when carrying out a tsistoskopiya at men).

As carry out a bladder tsistoskopiya

The cystoscope represents the tubular device equipped with a lamp. It can be rigid (standard) or flexible.

For inspection of a bladder the cystoscope needs to be entered into an urethra. The procedure is a little painful therefore carry out local, spinal or general anesthesia. If the general anesthesia which is more often than it is shown appoint the patient with unstable mentality, the patient cannot eat for 8 h to a tsistoskopiya.

At local anesthesia prior to the beginning of a tsistoskopiya enter into an urethra solution of novocaine of 2% - 10 ml or gel with lidocaine. When carrying out a tsistoskopiya at men, on a penis under a head impose a special clip on 5-10min.

The patient during a tsistoskopiya has to be in lying situation, after introduction of the cystoscope a bladder, for ensuring the best visibility fill with water or sterile physical solution – no more than 200 ml. After that the doctor examines a bladder. Survey lasts 2-10 minutes. In general the tsistoskopiya takes no more than 45 minutes and if local anesthesia was used, the patient can go home at once.

In certain cases the tsistoskopiya at women, men is combined with one more research – a hromotsistoskopiya for which carrying out to the patient enter intravenously contrast – 1-3ml solution of indigo carmine of 0,4%. Do it to study from what ureter with what interval and intensity there will be a painted urine. The norm is considered if dye begins to be emitted in a bubble in 3-5 minutes after introduction. If there pass more than 10 minutes, it can indicate deterioration in renal function.

Tsistoskopiya at children

Tsistoskopiya at children is carried out by the same principle that at adults, but use for inspection special children's cystoscopes, they much more smaller diameter, than adults. Tsistoskopiya will be seen off usually from the written consent of parents, for emotionally excitable children offer the general anesthesia.

Contraindications and effects of a tsistoskopiya

Tsistoskopiya at women, men and children is not carried out in the presence of an acute inflammation of a bladder, urinary tract, testicles and a prostate, in the presence of bleeding, urethral fever.

After a tsistoskopiya some time, one or two days, the patient can feel burning during an urination. Besides, there is a risk of development of an infection (after a tsistoskopiya often appoint antibiotics), discoveries of bleeding and disturbance of integrity of a wall of a bladder.

In view of the fact that at the man the channel of an urethra is longer, than at women, a tsistoskopiya at men – more difficult and somewhat dangerous procedure. Degree of complications depends on qualification of the doctor and the used cystoscope – the it is thinner, the better. The device has to pass prostatic department, a seminal hillock, a neck of a bladder and after it to come into a bladder. At improper handling with the device the tsistoskopiya can cause prostatitis, cystitis, an urethritis, an inflammation of a seminal hillock and bubbles, disturbance of a potentiality, in particular, of a morning erection, and lack of sexual desire. For elimination of complications it is necessary to undergo treatment, symptoms of erectile dysfunction it is passing, can be observed week or several months.

It is necessary to ask for medical care if after a tsistoskopiya are observed a fever, severe pain in an urethra, fever if urine at an urination becomes much less than usually.