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Treatments · Diagnostics Cystoscopy a clear view inside your bladder.

A cystoscopy uses a thin camera passed through the urethra to examine the bladder and urethra directly, diagnosing infections, stones and tumours. No GP referral needed.

Mr Maneesh Ghei Performed personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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DaysNot months -
to be seen
5 MinTypical flexible
cystoscopy
Insured or Self-PayAll major insurers accepted
In short

A cystoscopy examines the inside of the bladder and urethra using a thin camera, usually taking around five minutes as a flexible outpatient procedure under local anaesthetic, or longer if a rigid cystoscopy is needed for treatment.

Medically reviewed by Mr Maneesh Ghei, Consultant Urological Surgeon (GMC 5208045) · September 2026

Is A Cystoscopy For You?

A cystoscopy may be recommended if you have

Persistent urinary symptoms

Including recurrent urinary tract infections, painful urination, or frequent urges to urinate.

Blood in the urine

Or unexplained pelvic pain that needs direct investigation.

A history of stones or tumours

Including bladder cancer - regular cystoscopies can monitor your condition or the effectiveness of previous treatment.

2 Types Of Cystoscopy

Flexible or rigid

Flexible cystoscopy

Done under local anaesthesia in an outpatient treatment room. Less invasive, and used purely to confirm a suspected diagnosis.

Rigid cystoscopy

Performed under general or regional anaesthesia or sedation, as a day case. Can be used for treatment - such as removing small tumours or stones, or taking a biopsy.

What's Involved

The facts, and the fees

What your cystoscopy involves

A local anaesthetic jelly numbs and lubricates the urethra beforehand
The cystoscope is guided through the urethra into the bladder
Sterile water or saline expands the bladder to improve visibility of the bladder walls
Images are shown live on a screen, and treatment can be carried out in the same sitting if a rigid cystoscopy is used

Fees, explained up front

Fees depend on whether a flexible or rigid cystoscopy is required. Every cost is set out and agreed before you decide anything.

SettingOutpatient (flexible) or day case (rigid)
Duration5 min (flexible), 5-10 min (rigid)
AnaestheticLocal gel, or general/regional for rigid
RecoveryUsually the same day
Mild burning during urination and a small amount of blood in the urine are common afterwards, and usually brief.
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Simple, Fast, Clear

Examined and explained in 3 steps

1

Book your cystoscopy

Most patients are seen within a few days for an assessment with Mr Ghei.

2

Your examination

A flexible or rigid cystoscope examines the bladder and urethra directly, with treatment possible in the same sitting if needed.

3

Results and next steps

Your findings are explained in plain English, with any further treatment arranged promptly.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

Is a cystoscopy a major operation?
Generally not. It is frequently performed on an outpatient basis, especially the flexible type, which is less invasive and does not typically require sedation. A rigid cystoscopy may need a brief hospital stay due to anaesthesia.
What is the difference between flexible and rigid cystoscopy?
Flexible cystoscopy is entirely diagnostic and performed under local anaesthetic in an outpatient setting. Rigid cystoscopy can also be used for treatment, such as removing small tumours or stones, and is performed in a theatre setting as a day case.
What side effects might I notice afterwards?
Mild burning during urination, a small amount of blood in the urine, and temporary urinary frequency or urgency are the most common. Infections are less common but can occur, needing antibiotic treatment.
Do I need a GP referral?
No. Self-pay patients can book directly with no referral. If you plan to claim through insurance, some insurers ask for a GP referral first - we can guide you on what your policy needs.
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