Pediatric Cystoscopies
Pediatric Cystoscopy Treatment
Cystoscopy is a surgical technique that allows the surgeon to see the lower urinary system directly (bladder and urethra). Dr. Jitendra Hazare is one of the best pediatric surgeons who provide Pediatric Cystoscopy Treatment.
A cystoscope is a lighted, tubular telescope-like tool that is inserted into the bladder through the urethra. This test can aid in the detection of issues such as:
- Problems with the bladder’s lining.
- Bleeding or pain-related issues
- To check for kidney stones or to clear a blockage in the urinary system
The cystoscope allows the surgeon to observe the bladder, urethra, and the ureters’ entrance into the bladder by allowing water to flow through it. X-rays may be used in conjunction with cystoscopy to search for ureter or kidney issues. Your youngster will not experience any discomfort because the procedure is performed under a general anesthetic.
What are the Alternatives?
The easiest and most successful technique for the doctor to view inside the urinary system is a cystoscopy. X-rays and ultrasounds can provide some information. An X-ray (MCU) with contrast infused into the bladder through a catheter can provide information about the bladder’s structure, urine reflux, and whether or not the urethra is blocked (valves). The shape of the kidneys, collecting systems, and bladder may all be examined using ultrasound. It is a non-invasive, radiation-free test.
In comparison to X-ray and ultrasound, a cystoscopy delivers more information. In some cases, it may also give the possibility for therapy as well as diagnosis. X-rays and ultrasounds may be used to get further information.
How can I prepare my child for a cystoscopy?
Your child’s doctor will discuss ways to prepare your child for the operation with you. On the day of the procedure, he or she will advise you what medications your child should take or not take. The night before the cystoscopy, your child may need to cease eating at midnight. Before the operation, your child may need to consume a lot of fluids.
What is the Cystoscopy Procedure?
Under general anesthesia, the treatment is conducted as a day-only procedure. Antibiotics are frequently provided to lessen the risk of a urinary tract infection as a result of the surgery. A tiny fibreoptic telescope will be used to examine the interior of the bladder. The urethra is examined and the locations of the ureteric apertures are determined. Depending on why your kid is undergoing the operation, additional procedures may be done. Before the operation, they will be addressed with you and may include:
- Biopsies of the bladder if there are any areas of concern that need to be examined under a microscope.
- Stone removal via injections into the bladder, such as Botox
- Treatment of urethral pathologies such as valve or stricture occlusion (obstruction).
- A retrograde pyelogram involves injecting contrast into one or both ureters and taking an X-ray.
- Stenting of the ureter: A stent can be passed up or down the ureter.
After the surgery, the child will wake up immediately and be able to eat and drink. If all goes well, they will normally return home the following day.
After the surgery, pain treatment with paracetamol or Nurofen may be required. When the child passes urine, it may hurt, and there may be a little quantity of blood in the urine. This is only a temporary situation.
Your child will be transferred to a post-anesthesia care facility (PACU). This is where they will regain consciousness after the anesthetic. Following the surgery, the surgeon will discuss the results with you.
For one to two days following the surgery, your child may have blood-tinged urine. For the first 24 hours thereafter, there may be some discomfort and burning when urinating. Instruct your child to drink plenty of water, non-citrus juices, and non-carbonated beverages. You can also give your child acetaminophen (Tylenol) as advised and have him or she urinate in a tub of warm water.
The most prevalent consequences, like with any procedure, are bleeding and infection, both of which occur infrequently.
Bleeding is generally little and self-limiting, with blood in the urine being a symptom. Infection may develop two to three days after the cystoscopy, with symptoms appearing two to three days later. Fever, dysuria (pain when voiding), frequency (needing to void frequently), or urgency are all symptoms of this condition. If you have any of these symptoms, immediately get medical help.
Cystoscopy-specific complications:
Because cystoscopy entails the introduction of a telescope into the urinary tract, it is possible that the urinary tract will be damaged. This involves injuries to the urethra, bladder, and ureter (if these were examined). These kinds of injuries are relatively uncommon.
After a cystoscopy, what should you eat and do?
Avoid consuming foods and beverages that irritate the bladder. Soda, citrus juices and fruits, caffeine-containing beverages, and chocolate are among them.
The next day, children may usually return to daycare, school, or employment.