Flexible cystoscopy is the examination of the inside lining of the urethra and bladder using a thin flexible scope. It is used to investigate many urinary tract issues. Some examples include unexplained blood in the urine, urinary infections, trouble urinating, to check the bladder for cancer, to investigate unexplained bladder or urethral pain or to remove ureteric stents.

Pre operation

Ten days prior to the procedure you should notify Mr Thyer’s rooms if you are taking any blood thinning medication. If Mr Thyer has requested a urine test please make sure this is completed at least 7 days prior to the procedure.

The procedure

On arrival at hospital you will be given a gown to change in to. You should keep your shoes on for the procedure to protect your feet. Under local anaesthetic, Mr Thyer will examine the inside lining of the urethra and bladder using a thin flexible scope. You will be able to see the image whilst the procedure is performed. After the procedure the nurse will check you have passed urine then you will be sent home with a copy of Mr Thyer’s procedure report.


  1. Flexible cystoscopy performed at Hollywood Hospital can be performed with the assistance of Nitrous Oxide (also known as “laughing gas”)
  2. The local anaesthetic is a gel placed slowly into the urethra. There are no needles or injections required.
  • Bleeding. Most people get some blood in the urine which usually lasts for 1 week. Blood in the semen lasts for 2 months.
  • Infection. This occurs in approximately 3%.
  • Most people tolerate the procedure with minimal discomfort. Some find the procedure uncomfortable and Mr Thyer will stop the procedure immediately if you wish.
Follow up

The outcome of the procedure will determine follow up required. If you are unsure of the follow up plan on the operation report please call Mr Thyer’s rooms to clarify.

When to contact Mr Thyer

Following the procedure, you should contact Mr Thyer if you:

  • Have a fever over 38 Degrees
  • Are unable to pass urine
  • Have large clots in the urine
  • Are unsure of the follow up plan
  • You can contact Mr Thyer via his rooms during working hours or after hours via the after hours nurse at Hollywood Hospital on (08) 9346 6000
  • You can attend the emergency department at the hospital at which you had your procedure. (Hollywood Private Emergency Department charge a fee for attendance).

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