Cystoscopy is a relatively common examination method. It is a type of endoscope and is part of modern medicine. Through cystoscopic examination, the interior of the bladder can be fully diagnosed. It has a good examination effect on cystitis, stones, obstructive urinary tract diseases, or polyps and tumors. When performing cystoscopic examination, you must be aware of some precautions and strictly follow the operating specifications to avoid nosocomial infection. What diseases can cystoscopy detect? Female urinary fistula, interstitial cystitis, bladder neck contracture, pediatric urolithiasis, pediatric ureteral prolapse, obstructive urinary tract disease, chyluria, prostatic cyst, nematode disease, female bladder neck obstruction Frequent urination, red and astringent urine, painless hematuria, hypertrophic nodules and fibrous tissue hyperplasia, penis-like urethra, shrunken and hardened prostate, pain in the bladder area before and after urination, funnel-like changes in the internal urethra, thinning or interrupted urine flow, and no detrusor reflexes Precautions (1) The urethra and bladder should not be examined when they are in the acute inflammatory stage, as this may cause the inflammation to spread. In addition, acute inflammation of the bladder may cause congestion and make it difficult to distinguish the lesions. (2) If the bladder capacity is too small, below 60 ml, it indicates that the disease is serious and most patients cannot tolerate this examination, which can also easily lead to bladder rupture. (3) Patients who cannot insert a cystoscope due to phimosis, urethral stenosis, or urethral calculi. (4) Patients with bone and joint deformities who cannot adopt the lithotomy position. (5) Women who are menstruating or pregnant for more than 3 months. (6) Patients with severely impaired renal function, signs of uremia, hypertension, and poor heart function. Taboos before examination: The operator should wash hands, wear sterilized clothes and sterilized gloves. The principle of aseptic operation should be emphasized to avoid complications such as nosocomial urinary tract infection. Requirements after examination: (1) Hematuria often occurs after cystoscopy, which is caused by damage to the mucosa during the operation and usually stops after 3-5 days. (2) If there is burning pain in the urethra after surgery, the patient can be asked to drink more water to promote diuresis and given analgesics. The pain will be relieved after 1-2 days. (3) If the aseptic operation is not strict, urinary tract infection, fever and low back pain may occur after the operation, which should be controlled with antibiotics. |
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