Department of Urology, University of California , Irvine, Orange, California.
J Endourol. 2018 May;32(S1):S2-S6. doi: 10.1089/end.2017.0706.
Cystoscopy is a basic urologic skill necessary for the endoscopic evaluation of the urethra and bladder. Presented is a step-by-step guide for flexible cystoscopy of the male and female patient.
MATERIALS/METHODS: Routine flexible cystoscopy was performed on a male patient with a history of upper tract urothelial carcinoma and a female patient as part of a hematuria evaluation. The male patient was positioned supine, and the female patient frog-leg supine. Preoperative equipment included a flexible cystoscope (Storz 11272 VP; Karl Storz, Inc., Germany), irrigant, lubricating gel, sterile gloves, and towels/drapes. A typical cystoscopy room layout is shown.
This guide outlines the indications, preoperative preparation, and procedural steps for each gender, postoperative care, and troubleshooting recommendations. The video depicts the author's (R.V.C.) typical office cystoscopy procedure. In both cases, the cystoscopies were within normal limits.
A simple, standardized manner for performing office-based flexible cystoscopy is essential to the practice of all urologists. By following the outlined steps, the urethra and the entire bladder, including the bladder neck area, can be thoroughly evaluated.
膀胱镜检查是评估尿道和膀胱的基本泌尿科内镜检查技术。本文提供了一套男性和女性患者的软性膀胱镜检查的分步指南。
材料/方法：对一名有上尿路尿路上皮癌病史的男性患者和一名血尿评估患者进行常规软性膀胱镜检查。男性患者仰卧位，女性患者蛙腿仰卧位。术前设备包括软性膀胱镜（STORZ 11272 VP；Karl Storz，Inc.，德国）、灌洗液、润滑凝胶、无菌手套、毛巾/布单。展示了典型的膀胱镜室布局。
本指南概述了每个性别患者的适应证、术前准备和手术步骤、术后护理以及故障排除建议。视频描述了作者（R.V.C.）的典型办公室膀胱镜检查程序。在这两种情况下，膀胱镜检查均在正常范围内。
对所有泌尿科医生来说，以简单、标准化的方式进行基于办公室的软性膀胱镜检查是非常重要的。通过遵循概述的步骤，可以彻底评估尿道和整个膀胱，包括膀胱颈部区域。
