Cystourethroscopy

Chapter 240 Cystourethroscopy



DESCRIPTION


Cystourethroscopy is a technique for visualizing the interior of the urethra or bladder. This may also serve as a portal for other diagnostic or therapeutic measures.



INDICATIONS


To diagnose urinary tract disorders such as bleeding, pain, or dysfunction (e.g., interstitial cystitis). Cystourethroscopy can be a part of the evaluation of abnormal symptoms, signs, or laboratory findings; intraoperatively during gynecologic or urogynecologic surgery to rule out bladder, urethral, or ureteral trauma; and as part of staging or surgery for gynecologic malignancy.



CONTRAINDICATIONS


Active urinary tract infection. Known or suspected allergy to cleansing solutions or local anesthetics to be used.



REQUIRED EQUIPMENT



• Skin (or vaginal) preparation materials (iodine-based antibacterial solution [e.g., Betadine] or other suitable cleansing agents)

• Sterile gloves, antiseptic solution and sterile cotton balls, or skin preparation swabs

• Sterile urine specimen cup (with graduations)

• 1 liter of sterile saline (intravenous fluid without glucose is generally used) at room temperature (low-pressure carbon dioxide may also be used with suitable equipment) (If electrocautery is to be performed, a nonconducting solution, such as glycine, should be used.)

• Absorbent underpads

• 2% Xylocaine jelly in mushroom-tipped syringe (optional) or tube with conical delivery cap

Related posts:

  1. Anemia
  2. Toxic Shock Syndrome
  3. Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus
  4. Cervical Cancer

Stay updated, free articles. Join our Telegram channel
Tags:
Jun 6, 2016 | Posted by in GYNECOLOGY | Comments Off on Cystourethroscopy

Full access? Get Clinical Tree
Get Clinical Tree app for offline access