Cystoscopy

Question 1

Patients with bladder tumors presenting for
cystoscopy frequently have what preexisting health
problems?

Answer 1

CHF, CAD, COPD, PVD, cerebrovascular disease, and/or renal impairment

Question 2

List common preoperative diagnoses in patients

presenting for cystoscopy.

Answer 2

Benign prostatic hypertrophy; hematuria; cancer of the urethra, ureter, prostate, renal pelvis and bladder, hydronephrosis, strictures; urinary tract stones, interstitial or hemorrhagic cystitis; ureteropelvic junction obstruction.

Question 3

How is a patient positioned for a cystoscopy?

Answer 3

Lithotomy position

Question 4

List complications of cystoscopy.

Answer 4

Fever/bacteremia, bladder perforation, and peroneal nerve injury due to lithotomy position

Question 5

When regional anesthesia is used for cystoscopy,
what level of block is desired for urethral
procedures? Ureteral procedures?

Answer 5

T9-T10 for urethral procedures, T8 for procedures involving the ureters.

Question 6

How might a bladder perforation present in an

anesthetized patient?

Answer 6

Tachycardia, HTN, and in some cases, decreased BP

Question 7

How might a bladder perforation manifest in an

awake patient?

Answer 7

Complaints of shoulder pain

Question 8

Patients with what disorders often present for

repeated cystoscopies due to nephrolithiasis?

Answer 8

Paraplegics and quadriplegics