After a local anesthetic is used to take away sensation in the ureter, the doctor gently inserts the tip of the cystoscope or ureteroscope into the urethra and slowly glides it up into the bladder. A sterile liquid -- water or salt water, called saline -- flows through the scope to slowly fill the bladder and stretch it so the doctor has a better view of the bladder wall.
As the bladder is filled with liquid, patients feel some discomfort and the urge to urinate. The doctor may then release some of the fluid, or the patient may empty the bladder as soon as the examination is over.
The time from insertion of the scope to removal may be only a few minutes, or it may be longer if the doctor finds a stone and decides to treat it. Taking a biopsy -- a small tissue sample for examination with a microscope -- will also make the procedure last longer. In most cases, the entire examination, including preparation, takes 15 to 30 minutes.
What happens after a cystoscopy or ureteroscopy?
Patients may have a mild burning feeling when they urinate, and they may see small amounts of blood in their urine. These problems should not last more than 24 hours. Patients should tell their doctor if bleeding or pain is severe or if problems last more than a day.
To relieve discomfort, patients should drink two 8-ounce glasses of water each hour for 2 hours after the procedure. They may ask their doctor if they can take a warm bath to relieve the burning feeling. If not, they may be able to hold a warm, damp washcloth over the urethral opening.
The doctor may prescribe an antibiotic to take for 1 or 2 days to prevent an infection. Any signs of infection -- including severe pain, chills, or fever -- should be reported to a doctor
After a cystoscopy or ureteroscopy, patients should
drink two 8-ounce glasses of water each hour for 2 hours
ask about taking a bath or using a warm, damp washcloth to relieve the burning feeling
report any problems, such as
bloody urine that lasts more than 24 hours after the test
severe pain
chills
fever
my positive point for my life is.....To be hopeful in bad times is not just foolishly romantic. It

my positive point for my life is.....To be hopeful in bad times is not just foolishly romantic. It is based on the fact that human history is a history not only of cruelty, but also of compassion, sacrifice, courage, kindness. What we choose to emphasize in this complex history will determine our lives. If we see only the worst, it destroys our capacity to do something. If we remember those times and places -- and there are so many -- where people have behaved magnificently, this gives us the energy to act, and at least the possibility of sending this spinning top of a world in a different direction.
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