Cystoscopy
Cystoscopy – precise diagnosis of the bladder and urethra
Cystoscopy, or endoscopy of the urinary bladder, involves direct viewing of its interior using a special instrument – a cystoscope – inserted through the urethra.
A cystoscope is a thin tube equipped with an optical system and a light source. This device also has channels for filling the bladder with saline solution, rinsing specific areas, suctioning fluids and inserting surgical instruments.
Indications for cystoscopy
Cystoscopy enables a precise assessment of the urethra and bladder. It is an important tool in the diagnosis and differentiation of many diseases, such as:
- bladder tumors,
- inflammation,
- urinary tract bleeding of undetermined origin,
- bladder stones,
- developmental defects of the urethra or bladder,
- urethral strictures.
What are the types of cystoscopy?
Depending on the equipment used, there are two types of cystoscopy:
- Rigid cystoscopy – performed using a metal cystoscope. The examination is performed on a urological chair in the so-called gynecological position – the patient lies on their back, with their legs raised and placed on special supports.
- Flexible cystoscopy – performed using a flexible plastic cystoscope. It is performed in a lying position, without the need to raise the lower limbs, which usually provides greater comfort to the patient.
Our specialists performing this procedure

A physician with many years of experience gained also abroad. A graduate of the Royal College of Surgeons in Ireland (RCSI) and a member of the European Association of Urology (EAU). He gained his professional experience among others at Cork University Hospital and Mercy University Hospital in Ireland, Sana Klinikum Hof in Germany, and the 4th Military Clinical Hospital in Wrocław.
He specializes in minimally invasive procedures. In his daily practice, he focuses on:
- RIRS/URSL – laser treatment of kidney, ureter, and bladder stones,
- HoLEP – laser enucleation of the prostate,
- TURP – transurethral resection of the prostate adenoma,
- TURB – transurethral resection of bladder tumors,
- Laser urethrotomy (incision of urethral strictures),
- Hydrocele surgery,
- Phimosis surgery.

Dr. Aleksandra Zemła is an experienced urologist and clinical andrologist, and a graduate of postgraduate studies in sexology at the Medical University of Warsaw.
She specializes in prevention, diagnosis, and both conservative and surgical treatment of urinary tract diseases, andrological conditions including male infertility, and testosterone replacement therapy.
In her work, she combines urological knowledge with an interdisciplinary approach, incorporating elements of sexology and clinical psychology—especially in the treatment of urinary disorders, pelvic pain syndromes, and erectile dysfunction (both initiation and maintenance).
She offers an interdisciplinary urological-andrological-sexological approach tailored to the patient’s preferences and emotional resources.
What does a cystoscopy procedure look like?
Frequently Asked Questions (FAQ)
Does cystoscopy hurt?
The examination may involve some discomfort, but it is short. We use anesthetic gels to minimize unpleasant sensations.
How long does the test take?
The procedure itself usually takes 5-10 minutes. With all the preparation, you should set aside about 30 minutes.
Can I go to work after cystoscopy?
Yes, if the test was uneventful. However, you may experience a burning sensation when urinating for 1-2 days.
Is cystoscopy safe?
Yes, this is a standard diagnostic test. Complications are rare and usually mild (e.g., transient urethral irritation).
Why is it worth performing cystoscopy at Optima Clinic?
An experienced team of urologists and diagnosticians
Modern diagnostic equipment
Individual approach to the patient
Safe care before, during and after the procedure
Address
ul. Tęczowa 83W
53-601 Wrocław