Can you have a cystoscopy while on blood thinners?
Do not resume taking aspirin, blood thinners or anti-inflammatory medications for at least three days after cystoscopy (or as directed by your primary doctor). We advise increasing your fluid intake for several days after cystoscopy, especially if there is blood visible in the urine.
What are the contraindications of cystoscopy?
A contraindication for flexible cystoscopy in the office would be any intolerance to pain or discomfort with the procedure. This may necessitate a trip to the operating room (OR) for cystoscopy under anesthesia. A urethral stricture can sometimes make cystoscopy impossible, as the scope will not be able to pass.
Is there a prep for a cystoscopy?
Preparation. You’ll be sent instructions to follow before your appointment. This will include advice about eating, drinking, and what to do about any medicines you’re taking. You’ll usually need to stop eating and drinking for a few hours before a rigid cystoscopy.
Do you need to stop aspirin before cystoscopy?
If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your procedure. Aspirin can cause bleeding.
Can cystoscopy be done without anesthesia?
Cystoscopy is typically performed in an outpatient setting, using a local anesthetic to numb your urethra. If needed, it can also be performed under sedation. Cystoscopy may also be performed in the hospital under general anesthesia.
When is cystoscopy recommended?
Your healthcare provider may recommend a cystoscopy if you experience: Bladder control issues, such as urinary retention (being unable to empty the bladder all the way) or incontinence (not being able to control urine flow). Bladder stones. Blood in urine (hematuria).
What type of anesthesia is used for a cystoscopy?
Cystoscopy may be done in a testing room, using a local anesthetic jelly to numb your urethra. Or it may be done as an outpatient procedure, with sedation. Another option is to have cystoscopy in the hospital during general anesthesia.
What antibiotic is given after a cystoscopy?
The recommended antibiotic prophylaxis includes a single dose of either a fluoroquinolone or trimethoprim-sulfamethoxazole. Alternatively, an aminoglycoside (with or without ampicillin), a first- or second-generation cephalosporin, or amoxicillin-clavulanate may be administered.
What sedation is used for cystoscopy?
Patients tolerated cystoscopy better with intravenous sedation. Premedication with 25 to 50 mg. meperidine does not add significant analgesia or sedation to intravenous diazepam or midazolam, nor does it substitute for intravenous sedation.
When to take warfarin for vasectomy biopsy?
No need to hold warfarin for surveillance cystoscopy. If biopsy is expected or planned, hold warfarin 3-5 days prior to procedure. For vasectomy, keep INR near 2.0 to minimize bleeding.
When to restart warfarin after a prostate biopsy?
Warfarin is generally held for 5 days prior to prostate biopsy/surgery, lithotripsy. Restart of warfarin often delayed after procedure based on post-procedure bleeding. No need to hold warfarin for surveillance cystoscopy.
When to discontinue warfarin for urologic procedures?
Section 4: Risk Assessment of AC/AP for Urologic Procedures. A low risk of thrombosis with a high risk of perioperative bleeding would favor discontinuing warfarin without bridging therapy, whereas high risk of thrombosis with a low risk of bleeding suggest that the procedure, if necessary, be bridged.
The appointment for cystoscopy may also need to be changed if this is the case. If you take aspirin, anti-inflammatory drugs (such as Motrin, Alleve, Vioxx, Celebrex etc.) or any blood thinners (such as Coumadin or Plavix). You may need to temporarily stop these medications prior to cystoscopy.