52265 Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia

Name of the Procedure:

Cystourethroscopy with Dilation of Bladder for Interstitial Cystitis; Local Anesthesia

Summary

Cystourethroscopy with bladder dilation is a diagnostic and therapeutic procedure used to examine the interior of the bladder and urethra. It is typically performed to treat interstitial cystitis, a chronic bladder condition. The procedure is done under local anesthesia to numb the area.

Purpose

This procedure addresses interstitial cystitis, which causes bladder pain and urinary frequency. The goal is to relieve symptoms by stretching the bladder, potentially reducing pain and discomfort.

Indications

• Persistent bladder pain and discomfort
• Frequent urination with a feeling of urgency
• Previous treatments for interstitial cystitis have been unsuccessful
• Diagnosis of interstitial cystitis confirmed by a physician

Preparation

• Follow fasting instructions if advised by the physician.
• Adjust medications as recommended (e.g., stopping blood thinners).
• You may need to undergo urine tests or other diagnostic exams beforehand.

Procedure Description

1. The patient lies on a table, and local anesthesia is applied to the urethral area.
2. A cystoscope (a thin, tube-like instrument with a camera) is gently inserted through the urethra into the bladder.
3. The healthcare provider examines the bladder lining and urethra.
4. Sterile fluid is used to fill and stretch the bladder.
5. Detailed images are taken, and any abnormalities are noted.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or hospital.

Personnel

• Urologist or trained physician
• Nurse or medical assistant

Risks and Complications

• Discomfort or pain during the procedure
• Urinary tract infection (UTI)
• Bleeding or injury to the urethra or bladder
• Temporary difficulty in urination

Benefits

• Relief from symptoms of interstitial cystitis
• Improved bladder function and comfort
• Quick and minimally invasive diagnostic and therapeutic option

Recovery

• Mild discomfort after the procedure is common; pain relievers may be prescribed.
• Increase fluid intake to flush out the bladder.
• Avoid strenuous activities for a short period.
• A follow-up appointment may be scheduled to monitor progress.

Alternatives

• Oral medications such as pain relievers, antihistamines, or antidepressants
• Bladder instillations
• Dietary changes and lifestyle modifications
• Physical therapy for pelvic floor dysfunction

Patient Experience

Patients may feel pressure or mild discomfort during the procedure. Local anesthesia minimizes pain. Post-procedure, there may be a burning sensation during urination and slight spotting, which usually resolves within a few days. Pain management options will be discussed with the healthcare provider.