Cystoscopy and insertion/removal of prostatic stent

What is this?

This procedure involves inspection of the bladder and urethra with a telescope and placement of a synthetic tube within the prostate to provide a channel to urinate through

What alternatives are there?

TURP, open surgery, drug treatment, long-term catheter or observation

What to expect before procedure

You will usually be admitted on the same day as your surgery. You will normally receive an appointment for pre-assessment, approximately 14 days before your admission, to assess your general fitness, to screen for the carriage of MRSA and to perform some baseline investigations. After admission, you will be seen by members of the medical team which may include the Consultant, Specialist Registrar, House Officer and your named nurse. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.

What happens during the procedure?

Either a full general anaesthetic (where you will be asleep throughout the procedure) or a spinal anaesthetic (where you are awake but unable to feel anything from the waist down) will be used. All methods minimise pain; your anaesthetist will explain the pros and cons of each type of anaesthetic to you. You will usually be given injectable antibiotics before the procedure, after checking for any allergies. The water pipe (urethra), prostate and bladder are examined using a rigid telescope. The stent is then sited in your prostate under direct vision or X-ray control. A catheter is usually inserted after the procedure. Different types of stent are available and some have a piece of thread which is left protruding from your penis to allow a final adjustment to be made to the stent position once the catheter is removed. If the stent is to be removed, this is performed simply by grasping it with a pair of forceps and extracting it through the penis. To remove some stents, however, may require quite challenging surgery.

After the procedure

A catheter will normally be inserted into the bladder after this procedure. Once your urine is clear, the catheter will be removed. You will normally be allowed home once you have passed urine satisfactorily and the position of your stent has been checked. If a threaded stent is used, the thread will be removed before you are discharged. The average hospital stay is 4 days.

Potential side effects