Hematuria cytoscopy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [2]

Overview

Cystoscopy is the best way to evaluate the lower urinary tract, including the bladder, urethra, and urethral orifice. Initial diagnostic cystoscopy can be performed in the urologist's office using a flexible cystoscope under local anesthesia; this is a quick procedure that does not require sedation. Flexible cystoscopy has diagnostic accuracy equal or superior to rigid cystoscopy. Flexible cytoscopy is superior to rigid cytoscopy in the evaluation of the anterior bladder neck. However, if a lesion is detected that requires a biopsy, a rigid cystoscopy will be needed.