Cystoscopy
Cystoscopy is an important diagnostic and therapeutic procedure in which a special optical instrument (a cystoscope) is inserted through the urethra into the bladder. This allows the doctor to directly see the lining of the urethra and bladder to detect inflammation, stones, tumors, narrowing, or other changes. The procedure is quick and provides valuable information about the condition of the urinary tract.
When to see a specialist
- Blood in the urine (hematuria)
- Recurrent urinary tract infections
- Pain during urination or a frequent need to urinate
- Suspicion of bladder tumors
- Suspicion of bladder stones
- Bladder dysfunction (e.g., urinary incontinence)
- Narrowing of the urethra
- Foreign objects in the bladder
- Chronic pelvic pain
- Prostate problems (in men) that affect urination
Common symptoms
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Blood in the urine (hematuria)
This symptom always requires further investigation. -
Lower abdominal or pelvic pain
Especially if it is persistent and the cause is unclear. -
Pain during urination or a frequent need to urinate
Especially if it is persistent or accompanied by a fever. -
Problems with male reproductive organs
Pain in the testicles, swelling of the scrotum, erectile dysfunction. -
Prostate problems (in men)
A frequent need to urinate, a weak urine stream, urinating at night. -
Recurrent urinary tract infections
That do not respond to standard treatment. -
Suspicion of a bladder tumor or stones
If other tests have given unclear results. -
Symptoms of kidney stones
Severe pain in the side or back that radiates to the groin. -
Symptoms of urethral narrowing
A weak urine stream, difficulty urinating. -
Urinary incontinence
Leaking urine when coughing, sneezing, or during physical exertion.
How to prepare for your appointment
- Inform your doctor about all medications you are taking, especially blood thinners. Some medications may need to be temporarily stopped before the procedure.
- Inform your doctor about any known allergies.
- Before the examination, you will need to provide a urine sample to rule out an acute urinary tract infection.
- Most cystoscopies do not require fasting. You can eat and drink as usual unless your doctor tells you otherwise.
- In some cases, the doctor may ask you to come to the examination with a full bladder. Follow the doctor’s instructions.
- Think about any questions you may have about the examination and ask our staff before the procedure.
What to expect during your appointment
Reception and preparation
We will welcome you and explain the procedure. We will ask you to lie down in a gynecological chair or on a special examination table.
Anesthesia
We will apply a local anesthetic gel to the urethra to make the procedure as painless as possible.
The procedure
We will carefully insert the cystoscope into the urethra and move it into the bladder. The bladder is filled with a sterile liquid to get a better view. We will carefully examine the lining of the urethra and bladder.
Biopsy or minor procedure
If necessary, we may take a small tissue sample (biopsy) from the lining for further analysis or perform a minor therapeutic procedure (e.g., removing a stone).
End of the procedure
After the examination and any necessary procedures, we will remove the cystoscope. The entire procedure usually lasts 5–15 minutes.
Aftercare
We will give you instructions on aftercare, possible symptoms, and medications. You may experience a slight burning sensation when urinating and see some blood in your urine after the procedure.
Results
The doctor will explain the initial results of the examination to you immediately. We usually receive biopsy results within 1-2 weeks.
Payment & Appointment Info
Prices
Tallinn
| Service | Price |
|---|---|
| Endoscopic examination of the urinary bladder (cystoscopy) The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 225 € |
Everywhere else in Estonia
| Service | Price |
|---|---|
| Endoscopic examination of the urinary bladder (cystoscopy) The need for and suitability of the procedure will be assessed during a prior consultation with a specialist in Meliva, and the decision to proceed will be made jointly with the specialist. | 225 € |
Payment methods
With a doctor’s referral, Meliva Health Insurance covers this service under Outpatient Care coverage. Check your personal coverage limits in the ERGO app.
Vaata personaalseid limiite Ergo äpist.
Teenuse eest on võimalik maksta järelmaksuga – loe rohkem siit.
Referral
A doctor’s referral is required to book this service.
Clinics offering this service
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Frequently Asked Questions
What is a cystoscopy?
A cystoscopy is an endoscopic examination where a special instrument (a cystoscope) is used to look inside the urethra and bladder to identify diseases and changes in the lining.
Is a cystoscopy painful?
A cystoscopy is performed with a local anesthetic (a gel), so it is usually painless. You may feel some slight pressure or discomfort.
How long does a cystoscopy take?
The cystoscopy procedure itself usually takes 5–15 minutes.
What does a cystoscopy show?
A cystoscopy shows the condition of the lining of the urethra and bladder and can identify inflammation, stones, tumors, narrowing, and other abnormal changes.
Do I need a referral for a cystoscopy?
Yes, a referral from a urologist is usually required for a cystoscopy, as it is a specific diagnostic procedure that a doctor decides is necessary.