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A video cystoscopy allows a urologist to view the bladder and urethra in detail as part of the treatment process for urinary incontinence or other urinary tract issues. It allows the doctor to make the best decision for how to move forward with treatment either through surgical or conservative efforts. 

A video cystoscopy is not a treatment itself, but rather is the first step toward developing a treatment strategy. It allows the doctor to gain a better understanding of the patient’s specific problem in the bladder or urethra. 

What to Expect:

This is an outpatient procedure that is generally very quick, typically 5-15 minutes. The patient will need to begin by emptying the bladder. The test is conducted with a topical or general anesthetic to help numb the urethra prior to inserting the cystoscope. Once numb, the cystoscope (a thin tube with a camera on the tip) is inserted up the urethra and into the bladder. Patients may feel a pressure sensation during this process. 

A saline solution will then be infused into the bladder to help stretch the wall of the tissue and allow the urologist to see it more clearly. Patients may feel the sensation of needing to urinate during this part of the process. Once the cystoscope is removed, the patient may resume their daily activities, although they may feel mild discomfort for 12-24 hours following the procedure. 

The doctor will contact the patient following the procedure with their results and detailed treatment options to move forward.

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