Lube should always be used for men and women to ensure that the scope can easily slide into the urethra without causing any harm to the tissue.
This surgery technically isn’t sterile, so you may see people not wearing gowns or sterile gloves while “scrubbing in.”
Surgery Steps: The cystoscope will be inserted into the urethra, and will be looked at with the camera. After inserting the scope through the urethra, the scope will enter the bladder, and this is when a urine sample may be taken if requested. A regular specimen cup can be used for this and should be labeled and passed off quickly to prevent any spilling or mixups.
The doctor will closely watch the bladder as they fill it with fluid (usually sterile water). They will be watching the ureters, and looking for any abnormalities or bleeding, and making sure the ureters are working properly. Once done visualizing the bladder, the cystoscope can be removed if nothing looks suspicious.
Usually a stent is placed at the end of a cystoscopy. If so, a guide wire will be needed, as well as the correct sized stent. The nurse in the room will open up the stent once the surgeon has confirmed the size after measuring the length. I always ask whether the surgeon wants me to cut the string off of the stent or not. Most want the string cut. If they do want the string cut off, make sure that you don’t tear the string through the hole on the stent.
X-ray is almost always used during a stent placement to ensure it’s placed in the correct spot.
Instruments/ Cystoscopy table set-up
Misc.: Cystoscopes, Cysto. Bridges, Catheter nipples, Cysto sheaths, Pitcher, Medicine Cups
Equipment: X-ray, camera cord, light cord, suction tubing, irrigation tubing
Drapes for Cystoscopy Surgery: Under buttocks drape, leggings, cystoscopy drape
Notes: If alone with a doctor, they will need help holding tubing and wires. I tend to always wear x-ray lead since the surgeon usually uses x-ray when placing stents. The cystoscope needs to be lubricated before insertion.