Cystoscopy

Cystoscopy is a topic covered in the Davis's Lab & Diagnostic Tests.

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Synonym/Acronym:
Cystoureterography, prostatography.

Rationale
To assess the urinary tract for bleeding, cancer, polyps, stones (calculi), tumor, and prostate health.

Patient Preparation
Instruct the patient that to reduce the risk of aspiration related to nausea and vomiting, solid food and milk or milk products have been restricted for at least 6 hr, and clear liquids have been restricted for at least 2 hr prior to general anesthesia, regional anesthesia, or sedation/analgesia (monitored anesthesia). The patient may be required to be NPO after midnight. The American Society of Anesthesiologists has fasting guidelines for risk levels according to patient status. More information can be located at www.asahq.org.

Note: If iodinated contrast medium is scheduled to be used in patients receiving metformin or drugs containing metformin for type 2 diabetes, the drug may be discontinued on the day of the test and continue to be withheld for 48 hr after the test.

Regarding the patient's risk for bleeding, the patient should be instructed to avoid taking natural products and medications with known anticoagulant, antiplatelet, or thrombolytic properties or to reduce dosage, as ordered, prior to the procedure. Number of days to withhold medication is dependent on the type of anticoagulant. Note the last time and dose of medication taken.

Patients on beta blockers before the surgical procedure should be instructed to take their medication as ordered during the perioperative period. Protocols may vary among facilities.

Normal Findings

  • Normal ureter, bladder, and urethral structure.

Critical Findings and Potential Interventions
N/A

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