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We use cystoscopy to examine the lining of your bladder and the tube that carries urine out of your body (the urethra). We insert a hollow tube (cystoscope) equipped with a lens into your urethra and slowly advance the tube into your bladder. We can do this procedure in a testing room, using a local anesthetic jelly to numb the urethra. We might also perform cystoscopy as an outpatient procedure, with sedation. Another option is to have cystoscopy performed in the hospital under general anesthesia. Where you go depends on the reason for your procedure
Investigate causes of symptoms including blood in the urine, incontinence, overactive bladder, and painful urination. Cystoscopy can also help our doctors determine the cause of frequent urinary tract infections (UTIs). However, we generally do not perform cystoscopy while you have an active UTI.
Diagnose bladder conditions such as bladder cancer, bladder stones, and bladder inflammation (cystitis).
Treat bladder diseases using special tools that can be passed through the cystoscope to treat certain conditions such as very small bladder tumors, which we might remove during cystoscopy.
Diagnose an enlarged prostate by revealing a narrowing of the urethra where it passes through the prostate gland, indicating an enlarged prostate (a condition known as benign prostatic hypertrophy or BPH).
Be sure to follow any specific individual instructions given to you by your physician before you come to the Center.
If you have an Internal Defibrillator, Allergy to Latex or Sleep Apnea, please contact the center staff as soon as possible. If you are taking blood thinners (Aspirin, coumadin, etc.) you may be instructed to stop these before your procedure. Some procedures may require you to stop taking some supplements as well. Your nurse will discuss these with you during your pre-op call. Again, please follow any instructions given to you by your physician prior to your procedure.
All patients are required to sign a consent form before their procedure that will authorize your physician to perform the surgery. Patients under 18 years of age or those unable to sign for themselves must have a parent, guardian, power of attorney or other arrangement made to sign the consent.
Please leave all jewelry and valuables at home.
If you are receiving a sedative drug to make you calm or asleep during the procedure it will be required to you to have someone to drive you.
Wear loose, comfortable clothing that is easy to take off and put on. If you tend to be sensitive to cold temperatures, please come prepared.
Please bring a list of your current medications, vitamins and supplements with their dosages and strengths.
DO take your heart or blood pressure medications with a very small sip of water as soon as getting out of bed the day of your procedure.
DO bring any inhalers that you use even if not used daily.
Please bring your insurance cards, driver’s license or other photo ID.
You will receive a call from the Center to confirm your appointment 1-3 days prior to the procedure and to review any questions.
You may be required to see your Primary Care Provider for a History and Physical within 30 days of your scheduled procedure, and have required laboratory and diagnostic testing completed.
If followed by Cardiology you may be required to have cardiac clearance prior to your scheduled procedure.
You should not eat or drink anything after midnight on the night before your procedure unless instructed otherwise. It’s fine to brush your teeth, but do not drink any fluids.
DO NOT wear your contact lenses.
Please leave all jewelry and valuables at home.
If you are receiving a sedative drug to make you calm or asleep during the procedure it will be required to you to have someone to drive you.
Wear loose, comfortable clothing that is easy to take off and put on. If you tend to be sensitive to cold temperatures, please come prepared.
Please bring a list of your current medications, vitamins and supplements with their dosages and strengths.
DO take your heart or blood pressure medications with a very small sip of water as soon as getting out of bed the day of your procedure.
DO bring any inhalers that you use even if not used daily.
Please bring your insurance cards, driver’s license or other photo ID.
You should not eat or drink anything after midnight on the night before your procedure unless instructed otherwise. It’s fine to brush your teeth, but do not drink any fluids.
DO NOT wear your contact lenses.
Your physician will provide post-operative instructions regarding diet, rest, exercise, and medications. You will be provided with a written summary of these discharge instructions.
A nurse from the Surgery Center will attempt to call you the day after your surgery to check on your progress and discuss any questions you may have. If you have any unexpected problems, please call your doctor. If he/she does not respond, please go to the nearest emergency room.
Overactive Bladder (OAB) is a condition where the bladder contracts uncontrollably, creating leakage, the strong sudden need to “go right away”, and going too often.
Overactive Bladder (OAB) is not a “weak” bladder. OAB occurs when nerves are affected. These nerves send signals to your bladder at the wrong time, causing the muscle to squeeze without warning. This process causes your bladder to spasm uncontrollably, creating leakage, the strong sudden need to “go”, and going too often.
Yes, Botox® can provide up to 6 months of OAB symptom improvement in adults who have an inadequate response to or are intolerant of an anticholinergic medication. Botox® was proven to reduce daily leakage episodes and cut the number of daily leakage episodes by about half at week 12.
You won’t see results right away. In clinical trials, patients taking Botox® experienced fewer daily leakage episodes in as little as two weeks, with full results seen at week 12.
One Botox® treatment can provide up to six months of improvement of OAB symptoms. OAB is a chronic condition that requires ongoing treatment. Your doctor will determine how often you need to get re-treated. After your first treatment, you should schedule your next treatment at about six months before you leave the office because it may take some time to get on your doctor’s calendar. Wait at least three months between treatments.
In treating OAB symptoms, the most common side effects with Botox® treatment are urinary tract infection, or UTI (18% vs 6% with placebo); dysuria, which means painful or difficult urination (9% vs 7% with placebo); and retention, which is a temporary inability to fully empty your bladder (6% vs 0% with placebo). If you have difficulty fully emptying your bladder after getting Botox®, you may need to use disposable self-catheters. A self-catheter is not like the kind you see in a hospital. It is much smaller (fits in your purse or pocket), easy to use, and you use it by yourself. This is not a complete list of possible side effects. Please contact us at (920) 886-2213 for more information.
Most major insurance plans, including Medicare and Medicaid, cover the cost of Botox® treatments.* For commercially insured patients who are eligible, Allergan offers a savings program to help offset remaining out-of-pocket costs.† With this program, most commercially insured patients are able to have their first Botox® treatment for no out-of-pocket cost.
You will be given an antibiotic before the treatment to help prevent this and, on the day of the treatment, you will go home with a prescription.
Most people with commercial insurance will pay $0 out-of-pocket for treatment with the help of the Botox®. For more information please call us at (920) 886-2213.
Learn more about Botox® injections by visiting our partners at botoxforoab.com
Wisconsin Institute of Surgical Excellence is dedicated to service through compassionate patient centered care, Our goal is to promote a partnership between provider, patient, and community, while adhering to the highest standards of integrity and excellence. We are committed to progressive and innovative care, using state of the art technology with the most cost effective means possible.