Rigid Cystoscopy

Inserting the instrument:

™ Calibrate external urethral meatus.

™ Introduce the cystoscope blindly or under direct vision.

™ Procedure should be pain free.

™ Never use pressure or force.

™ Gently introduce the sheath without mucosal injury to avoid possible urethral strictures.

™ Blind introduction in men: ™ Straighten the penis. ™ Use excessive lubricating gel. ™ Introduce the sheath, closed with the obturator.

™ In the bulbar part, the urethra turns from an almost horizontal direction to a steep rise behind the symphysis towards the bladder neck. The curvature at the bulb is easily to overcome by lowering the instrument.

™ Curvature due to a large endovesical median lobe: this change in direction must be compensated for by lowering the eyepiece of the instrument, a possibly painful procedure in patients without anaesthesia.

™ Introduction under direct vision in men: ™ Straighten the penis. ™ Use excessive lubricating gel. ™ Introduce the sheath over the external meatus closed with the obturator. ™ Remove the obturator and use the 0° telescope.

™ With continuous flow irrigation and straightened urethra, gently move towards the bladder.

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