2-14. CYSTOSCOPY

a. Cystoscopy is the direct visualization of the urethra and bladder by means of a special device called a cystoscope. The lighted, tubular, scope is inserted into the urethra. It is used to:

(1) Inspect the urethra and bladder.

(2) Remove calculi from the urethra, bladder, and ureters.

(3) Allow insertion of catheters for removal of specimens.

b. Preparation is minimal and involves:

(1) Administration of prescribed medications and anesthetic.

(2) Patient education about the procedure.

c. Nursing implications.

(1) The patient will experience some burning and passage of blood when urinating following the procedure. This is due to irritation of the mucous membrane.

(2) If urinary retention occurs, it may be necessary to insert an indwelling catheter (on physician’s order only).

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