Cystoscopy is a procedure a allows the surgeon to see directly into the lower urinary tract (bladder and urethra). A lighted, tubular telescope-like instrument called a cystoscope is placed into the bladder through the urethra. This test can help identify problems, such as:

• issues related to bleeding or pain
• blockage of the urinary tract or to look for kidney stones
• issues with the lining of the bladder

Water flows through the cystoscope so the surgeon can see the bladder, urethra and the insertion of the ureters into the bladder. X-rays may be done along with cystoscopy to look for different problems with the ureter or kidney. It is done under general anesthesia so your child will feel no pain.

Before the Procedure

Your child will receive general anesthesia for this procedure. They will need to follow the eating and drinking instructions the night before the procedure. The nurse will review these instructions with you.

After the Procedure

Your child will go to the post anesthesia care unit (PACU). This is where they will wake up from the anesthesia. The surgeon will talk with you the findings right after the procedure.

Your child may have blood-tinged urine for one to two days after the procedure. There may also be some pain and burning during urination for the first 24 hours afterwards. Encourage your child to drink plenty of fluids, such as water, non-citrus juices and non-carbonated drinks. You may also give acetaminophen (Tylenol) as directed and have your child sit in a tub of warm water to urinate.

Diet / Activity After Cystoscopy

Avoid eating and drinking things that can irritate the bladder. These include soda, citrus juices and fruits, caffeine-containing drinks and chocolate.

Generally, children can return to day care, school or work the next day.

When to Call Your Child's Doctor:

Call the doctor if your child has:

• lots of trouble urinating
• not urinated for eight hours since going home
• a fever above 101° that starts 24 hours after the cystoscopy
• bright red blood or blood clots in their urine