Outpatient flexible Cystoscopy: prospective single centre experience

Abstract

INTRODUCTION: Flexible cystoscopy is performed as an out patient procedure. OBJECTIVE: To audit the our experience of out patient flexible cystoscopy. Methods: Patients presenting with lower urinary symptoms (haematuria, irritability, dysuria, obstructive symptoms, pain, and recurrent urinary tract infection) were prospectively recruited into this study over a two-year period. Flexible cystoscopy was performed under surface anaesthesia using lignocaine 2% gel and single dose intravenous antibiotic prophylaxis (80 mg of Gentamycin if not contraindicated). RESULTS: This study included 552 (400 males) patients.None had complications. In 30 (5.4 %) patients instrument could not be introduced. These patients underwent meatal and urethral dilatation followed by rigid cystoscopy. Prostomegaly was present in 196 patients (49% of Males). Urethral stricture was present in 38 patients (6.8 %). Bladder stone was present in 24 (6.3%) patients. Bladder mucosal abnormality was detected in 59 (11 %). All patients who had mucosal abnormality were subjected to rigid cystoscopy. CONCLUSION: Flexible cystoscopy is a useful minimally invasive investigation with no complication in experienced hands. Commonest abnormalities found were prostomegaly followed by mucosal abnormality in the bladder.