© Copyright 2026 American Medical Association. All rights reserved.
Cystourethroscopy is a minimally invasive procedure that allows healthcare professionals to visualize the interior of the bladder and urethra. This procedure is particularly important for diagnosing and treating conditions that may obstruct the urinary tract, such as blood clots. During cystourethroscopy, a healthcare provider uses a specialized instrument called a cystoscope, which can be either rigid or flexible, to gain access to the bladder through the urethra. The procedure begins with the cleansing of the urethra using an antiseptic solution to minimize the risk of infection. Once the cystoscope is in place, the bladder is thoroughly inspected for any obstructing blood clots that may be present. If clots are identified, the cystoscope is removed, and a resectoscope is introduced to facilitate the breaking up and evacuation of these clots. Following the removal of the clots, the bladder is flushed with sterile saline to ensure that any residual clots or bleeding are addressed. Finally, a catheter may be inserted to provide continuous bladder irrigation and drainage as needed, ensuring proper recovery and function of the urinary system.
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