Cystourethroscopy

Published on 30/05/2015 by admin

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Last modified 30/05/2015

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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

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