Private Cystoscopy in Birmingham

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Experience the benefits of a Flexible Cystoscopy at our private clinic, tailored for both men and women. This procedure involves the use of a flexible camera inserted into the urethra to provide a detailed view of the bladder. If required, our expert team can perform a biopsy, extracting a small tissue sample from the bladder.

We understand that urinary system issues can be discomforting and disruptive. Our specialists, using advanced imaging technology, will diagnose the root cause of your pain and curate a personalised treatment plan just for you. Schedule your private cystoscopy consultation with us for expert care and comprehensive solutions.

What is a Flexible Cystoscopy?

A flexible cystoscopy is a medical procedure designed to examine the interior of the bladder using a thin, flexible tube called a cystoscope. Unlike traditional rigid cystoscopes, the flexible version allows for greater manoeuvrability of the camera in the bladder and a more comfortable experience for the patient.

One of the notable advantages of a flexible cystoscopy is that it is generally well-tolerated and considered to be a low-pain or pain-free procedure. Local anaesthesia may be applied to the urethra to further enhance patient comfort. The flexible cystoscope is designed to cause minimal irritation, reducing the likelihood of pain or discomfort during and after the procedure.

The primary purpose of a flexible cystoscopy is to visually inspect the interior of the bladder for any abnormalities, such as tumours, stones, or signs of infection. This procedure is a valuable diagnostic tool for investigating a variety of bladder issues.

The Procedure

During a flexible cystoscopy, a lubricated and slender cystoscope is gently inserted through the urethra and into the bladder. The urethra is the tube that carries urine from the bladder out of the body, and the cystoscope is essentially a small, medical camera that allows a specialist an accurate picture of what is going on inside of your bladder. The flexible nature of the cystoscope minimises discomfort and allows for easier navigation through the natural curves of the urinary tract.

A flexible cystoscopy is typically recommended as an investigative step before planning any treatment. It allows healthcare professionals to visualise and assess the bladder, providing essential information to guide treatment plans for individuals experiencing chronic pelvic pain, urinary retention, lower urinary tract symptoms, haematuria, bladder pain, or recurrent urinary tract infections.

A flexible cystoscopy may be considered when a patient is showing the symptoms and indications of the following:

Chronic Pelvic Pain

  • Symptoms: Persistent, long-term pelvic pain that may be localised or diffuse.
  • Indication: A flexible cystoscopy can help identify potential bladder-related issues contributing to chronic pelvic pain, such as inflammation, infections, or structural abnormalities.

Urinary Retention

  • Symptoms: Difficulty emptying the bladder completely, a frequent or urgent need to urinate, but with limited success.
  • Indication: Flexible cystoscopy is utilised to assess the cause of urinary retention, which may include bladder outlet obstruction, neurogenic bladder conditions, or other structural abnormalities.

Lower Urinary Tract Symptoms (LUTS)

  • Symptoms: Various issues affecting the lower urinary tract, including increased frequency, urgency, weak stream, hesitancy, and incomplete emptying.
  • Indication: A flexible cystoscopy helps in examining the bladder and urethra, assisting in the identification of factors contributing to lower urinary tract symptoms, such as bladder stones, tumours, or inflammation.

Haematuria (Blood in the Urine)

  • Symptoms: Visible blood in the urine or microscopic haematuria detected during a urinalysis.
  • Indication: Flexible cystoscopy is a crucial diagnostic step to investigate the cause of haematuria, determining whether it originates from the bladder. This can include identifying tumours, stones, or other abnormalities.

Bladder Pain

  • Symptoms: Discomfort or pain localised to the bladder region, often associated with urination.
  • Indication: The procedure is recommended to explore the bladder lining and surrounding structures to identify potential causes of bladder pain, such as interstitial cystitis, inflammation, or infection.

Recurrent Urinary Tract Infections (UTIs)

  • Symptoms: Frequent episodes of urinary tract infections, often requiring multiple rounds of antibiotic treatment.
  • Indication: Flexible cystoscopy is employed to investigate structural or functional issues within the bladder that may predispose an individual to recurrent UTIs, such as anatomical abnormalities or persistent bacterial reservoirs.


A Flexible Cystoscopy with Consultation


Biopsy following Cystoscopy & Report 


Please note: we will only allow online bookings for the consultation part of the appointment, once you have seen our consultant and they are in agreement, we will get you booked in for a cystoscopy.

Preparing for Your Private Cystoscopy

Preparing for a cystoscopy involves several important steps to ensure a smooth and successful procedure. First and foremost, it's crucial to communicate openly with your doctor. Provide a detailed medical history, including any allergies, medications, or existing health conditions. If you suspect you might be pregnant, inform your doctor as this can impact the procedure.

Your doctor may order blood tests or imaging studies to assess your overall health and identify any potential issues. Additionally, you might be required to provide a urine sample for analysis before the cystoscopy.

Before heading to our clinic, you should try to empty your bladder. This can typically be done at the medical facility where the cystoscopy will take place. Ensure that you follow our specialist’s instructions regarding this step.

On the day of the procedure, wear comfortable clothing, and be prepared to change into a gown if necessary. Take the time to ask our consultant any questions you may have and express any concerns. Open communication is key to ensuring that you are well informed and comfortable with the upcoming cystoscopy.

After the Procedure

In addition to monitoring for usual and rarer after-effects, individuals are advised to maintain adequate fluid intake to help flush out any remaining substances and reduce irritation during urination. While strict bed rest is typically unnecessary, taking it easy for the rest of the day after the procedure is a common recommendation. Follow-up care, including any scheduled appointments or additional tests, should be attended as advised by healthcare providers. Always adhere to post-procedure instructions and promptly communicate any concerns or questions regarding the recovery process.

Common Symptoms After a Cystoscopy

  • Discomfort or Pain: After undergoing a cystoscopy, it's common to experience mild discomfort or pain. This may manifest as a burning sensation during urination or a feeling of urgency to urinate. These sensations are typically temporary and tend to subside over time.
  • Blood in Urine: The presence of a small amount of blood in the urine for a day or two is a normal occurrence after a cystoscopy. While this might be unsettling, it's generally part of the expected post-procedural recovery process. If the bleeding is minimal and resolves within the expected timeframe, it is usually not a cause for concern.
  • Frequent Urination: Some individuals may notice an increased frequency of urination or a heightened sense of needing to urinate more often than usual. This is a common reaction to the manipulation of the urinary tract during the procedure and typically resolves on its own.
  • Mild Irritation: Inserting a cystoscope into the urethra and bladder can cause mild irritation. This might result in discomfort or a slight burning sensation. Such symptoms are generally part of the normal healing process and should gradually improve.

Rarer Symptoms Requiring Attention

  • Excessive Bleeding: While a small amount of blood in the urine is expected, excessive bleeding or persistent bleeding beyond a couple of days should be promptly addressed. If there is a significant increase in blood or if it continues unabated, it's crucial to seek medical attention.
  • Severe Pain: Severe or escalating pain that is not alleviated by over-the-counter pain medications warrants attention. Persistent and intense discomfort may be indicative of a complication and should be reported to healthcare providers for further evaluation.
  • Fever or Chills: The development of fever or chills post-cystoscopy could signal an infection. If these symptoms arise, it is essential to contact healthcare providers promptly. Infections may require intervention, and timely medical attention can help prevent complications.

Alternatives to Cystoscopy

While cystoscopy is a commonly used and effective diagnostic tool, there are alternative options for exploring certain urinary tract issues. These alternatives may be considered based on the specific symptoms and suspected conditions. Some alternatives include:

  • Ultrasound: This non-invasive imaging technique uses sound waves to create images of the urinary tract. It can be used to identify abnormalities in the bladder and kidneys.
  • CT scan: Computed tomography scans provide detailed cross-sectional images of the urinary tract, helping to detect stones, tumours, or other abnormalities.
  • MRI (Magnetic Resonance Imaging): MRI can provide detailed images of the urinary tract without the need for radiation. It is particularly useful for evaluating soft tissues and can be used in certain cases as an alternative to cystoscopy.
  • Urinalysis and Urine Culture: These tests analyse urine samples to detect signs of infection, blood, or other abnormalities. While they may not provide a direct visualisation of the bladder, they can offer valuable information about urinary tract health.

It's important to note that the choice of diagnostic method depends on the specific symptoms, medical history, and the suspected condition. Our specialist will determine the most appropriate diagnostic approach based on your individual case.

Meet Our Specialist

We take great pride in featuring a private urologist based in the West Midlands at our Birmingham clinic. This professional, Dr Rupesh Bhatt, is available to assist you with consultations, testing, and treatments aimed at alleviating urinary issues.

Dr Rupesh Bhatt

Dr Rupesh Bhatt, a highly accomplished and trusted Consultant Urological Surgeon, specialises in uro-oncology and laparoscopic urology. With extensive training and experience, including at the renowned Christie Hospital, he is actively sought after for challenging cases and second opinions. His expertise in kidney cancer surgery was highlighted in the BBC TV series "Surgeons: At the Edge of Life: Last Chance Saloon." Holding a doctorate in prostate cancer stem cells, Dr Bhatt boasts numerous publications and awards, contributing actively to national committees and guidelines. Patients from across the country seek his consultation, benefiting from his compassionate and innovative care coupled with effective communication. Dr Bhatt's practice also encompasses vasectomy, vasectomy reversal, and circumcision, catering to a broad geographical area.

Trust Midland Health

If you're dealing with an urology condition, prompt expert advice and in some cases exploration with a flexible cystoscopy is required. In our private urology clinic located in Birmingham, there's no need to endure a waiting period for an appointment, nor do you require a GP referral to consult with a specialist. We offer flexible consultation times to accommodate your schedule. 

We take pride in delivering exceptional care and attending to your needs from the moment you schedule an appointment with us to when you conclude your treatment and exit our facility. Regardless of your specific concern, our dedicated team is here to assist you.

By selecting our services, you gain:

  • Swift consultation appointments, often within days
  • Access to the expertise and experience of our in-house urologist
  • Bypassing waiting lists and the need for GP referrals
  • Access to an innovative medical clinic equipped with advanced technology
  • Outstanding patient-centric care prioritising your well-being

Our Urology Clinic

Situated in Edgbaston, our Birmingham clinic is the base for our private urologist. Boasting six consultation rooms and equipped with state-of-the-art facilities, it ensures the provision of specialised and attentive care.

Conveniently accessible by public transport, you can utilise bus services to Highfield Road or opt for a short walk from Five Ways Station. For those arriving by car, parking facilities are available right outside the clinic.


Flexible Cystoscopy involves the insertion of a thin, flexible tube with a light and camera (cystoscope) through the urethra to examine the bladder and urethra. This allows for a detailed visual inspection of the urinary tract.

Flexible Cystoscopy is typically necessary to investigate various urinary tract issues, such as recurrent urinary tract infections, blood in the urine, urinary incontinence, or to evaluate the cause of bladder-related symptoms. It is also used for surveillance of certain urological conditions.

The duration of a Flexible Cystoscopy procedure is relatively short, usually taking around 5 to 15 minutes. However, the time may vary based on the specific purpose of the examination and any additional procedures that may be performed concurrently.

Flexible Cystoscopy is generally considered safe and dependable when performed by trained medical professionals. It is a routine and well-tolerated procedure with minimal risks when conducted according to the medical guidelines.

During a Flexible Cystoscopy, the urologist may inspect the bladder wall, take biopsies if necessary, remove small bladder stones, and perform other minor procedures. It serves as both a diagnostic and therapeutic tool for various urological conditions.

Patients may experience some mild discomfort during Flexible Cystoscopy, such as a sensation of urgency or mild burning; however, in most cases, it is described as not painful. To minimise discomfort, a local anaesthetic gel is often applied to the urethra before the procedure. The discomfort is usually temporary and subsides quickly after the examination.

While Flexible Cystoscopy is generally safe, potential risks include urinary tract infection, bleeding, and a rare risk of injury to the urethra or bladder. Serious complications are extremely rare, and the benefits of the procedure typically outweigh the risks when performed for appropriate medical reasons.

The recovery process after Flexible Cystoscopy is brief. Patients may experience mild discomfort or a sensation of urgency during urination for a short period. Most individuals can resume normal activities immediately after the procedure, and any discomfort typically resolves within a day or two.

We have translators available for your appointment.

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