Cystoscopy · Diagnostic and Therapeutic Bladder Scope in Bangkok

Cystoscopy uses a thin scope passed through the urethra to directly inspect your bladder and lower urinary tract. It’s the gold-standard test for unexplained blood in urine (hematuria), recurrent urinary infections, suspected bladder cancer, and BPH evaluation. Flexible cystoscopy can be done in clinic under local anesthesia · rigid cystoscopy under TIVA in the operating theater for more complex assessments.

Our solutions

Why patients choose Cystoscopy

Direct Visualization

The scope sees inside your bladder in real time · finds tumors, stones, inflammation, and BPH obstruction that imaging may miss.

Direct Visualization

Flexible Option Under Local Anesthesia

For diagnostic-only cystoscopy, flexible scope + local anesthesia gel · no IV, no sedation, in and out same day.

Flexible Option Under Local Anesthesia

Diagnostic and Therapeutic in One

Small bladder lesions can be biopsied or removed at the same time · tight urethral strictures can be dilated.

Diagnostic and Therapeutic in One

Standard First Step for Hematuria

Any blood in urine over 40 in men needs cystoscopy to exclude bladder cancer.

Standard First Step for Hematuria

What Our Patients Say

Male Surgery

The difference was night and day. I hadn’t felt a strong stream like that in years.

Wachirawit, 67
Male Surgery

I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.

Khom, 64

Book your consultation today.

What Our Patients Say

How to Prepare for Cystoscopy

  • Urine test
    Pre-op urine sample to check for infection.

  • Antibiotic prophylaxis
    Single-dose antibiotic before the procedure if you have urinary risk factors.

  • No fasting needed for local-anesthesia cystoscopy
    Eat and drink normally if your procedure is under local anesthesia only.

  • Fast 6 hours pre-procedure if under TIVA
    No food or water if you’re having sedation or general anesthesia.

  • Stop blood thinners
    Only if biopsy or resection is planned · diagnostic-only cystoscopy doesn’t require stopping anticoagulants.

  • Plan for transport home
    If under TIVA or general anesthesia, you cannot drive yourself.

How to Prepare for Cystoscopy

What Happens During Cystoscopy

  • Anesthesia
    Local anesthesia gel (flexible cystoscopy in clinic), TIVA, or general anesthesia depending on what’s planned.

  • Scope insertion
    The cystoscope is gently passed through the urethra into the bladder.

  • Inspection
    Your urologist inspects the bladder lining, both ureteric openings, the bladder neck, and prostatic urethra in men.

  • Biopsy or treatment if needed
    Small biopsies, tumor removal, or stent placement can be done through the scope at the same time.

  • Removal
    The scope is removed · you may have brief stinging on first urination.

  • Discharge
    Same day · clinic-based flexible cystoscopy takes about 30-45 minutes total including consent and recovery.

What Happens During Cystoscopy

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Clinic-Based Flexible Cystoscopy

For diagnostic-only cases, we offer in-clinic flexible cystoscopy under local anesthesia · no theater booking, same-day result.

Same Day Imaging and Workup

Urine cytology, ultrasound, and cystoscopy can be scheduled in close sequence so international patients can complete a hematuria workup in 1-2 days.

Specialist Urologist Reading

Cystoscopy findings are read by your urologist directly · no second-opinion delay.

Private, Discreet Recovery

Confidential care, WhatsApp follow-up, English-language reports.

Frequently asked questions

Is cystoscopy painful?

Flexible cystoscopy under local anesthesia gel is uncomfortable but not painful · most men describe it as a strong urge to urinate while the scope is in. Rigid cystoscopy under TIVA or general anesthesia is painless.

When do I need a cystoscopy?

Common indications: blood in urine, recurrent urinary infections, suspected bladder cancer, BPH evaluation before surgery, suspected urethral stricture, bladder pain or storage symptoms not explained by other tests.

How long does it take?

The scope itself takes 5-10 minutes. Total clinic time including consent and brief recovery is 30-45 minutes.

What are the risks?

Mild stinging on first urination, brief blood-tinged urine, and small risk of urinary infection · all usually self-limiting. Serious complications are very rare.

How much does cystoscopy cost in Bangkok?

Cost depends on whether it’s flexible (clinic-based) or rigid (theater-based), and whether biopsy or treatment is done at the same time. Book a consultation for a personalized quote.

DIRECT BLADDER ASSESSMENT IN A SINGLE VISIT

DIRECT BLADDER ASSESSMENT
IN A SINGLE VISIT
DIRECT BLADDER ASSESSMENT IN A SINGLE VISIT