Cystoscopes

A cystoscope is a specialised endoscope designed for the urinary tract. It’s a long, thin instrument containing a light source and miniature camera that allows urologists to see inside the urethra and bladder. Modern designs combine optics with instrument channels so clinicians can biopsy tissue, remove stones or place stents without an open incision. Because the procedure is minimally invasive, cystoscopy is a routine way to evaluate symptoms like blood in the urine or painful urination. On this page, Angelus Medical presents a curated selection of cystoscopes and accessories for clinics and surgery centres along with guidance on choosing the right system.

Understanding Cystoscopes

Cystoscopes come in two main designs: rigid and flexible. A rigid cystoscope is a straight, non bending instrument that delivers high resolution images and is ideal for therapeutic procedures such as stone removal, biopsies or tumour resection. Flexible cystoscopes use a bendable insertion tube so they can follow the natural curve of the urethra with minimal discomfort. Flexible systems are commonly used for outpatient diagnostics and allow the clinician to examine the entire bladder under local anaesthesia.

Advancements in cystoscope technology have enhanced both image quality and ergonomics. High definition sensors, digital video outputs and narrow band imaging (NBI) highlight vascular patterns to aid early cancer detection. Manufacturers also use variable stiffness shafts and evolution tip designs so the proximal shaft provides control while the distal end bends smoothly for patient comfort. When evaluating equipment, consider the following features:

• Image Quality - look for high definition cameras and optical fibre bundles. Olympus’ CYF 5A fiberscope combines advanced fiber optics with NBI to provide high resolution views and improved light transmission.
  
• Working Channel and Accessories - a cystoscope with a large channel allows insertion of forceps, stone baskets or laser fibers. The Wolf 7305 flexible fiber cysto scope features a 5 mm outer diameter and a 120° field of view plus accessory compatibility for biopsies, stent placement and foreign body removal.
  
• Insertion Diameter and Length - pediatric scopes use diameters as small as 7 Fr (2.4 mm) and lengths around 11 cm to minimize trauma. Standard adult scopes range from 5 mm to 7 mm in diameter and 12-18 cm in length; for example, the Storz 28124 BR cystoscope is 5.5 mm wide and 12.5 cm long.
  
• Deflection and Maneuverability - high bending angles and variable stiffness make it easier to visualize all bladder walls. Flexible scopes with 210° upward and 150° downward deflection provide excellent control.
  
• Ergonomics and Patient Comfort - lightweight scopes with smooth distal tips reduce insertion force. Evolution tips and tapered design improve patient comfort without sacrificing image quality.
  
• Sterility and Workflow - consider whether a reusable or single use scope fits your practice. Single use systems like the Ambu aScope series (designed for flexibility and high definition imaging) eliminate reprocessing and infection risk.
  

Diagnostic and Therapeutic Applications

A cystoscope’s ability to provide direct visualization of the urinary tract makes it essential for diagnosis and treatment. Common diagnostic uses include detecting bladder cancer, evaluating recurrent urinary tract infections and investigating haematuria (blood in urine). Therapeutically, the instrument guides stone extraction, tumour resection and urethral stricture dilation. With a working channel, clinicians can remove foreign bodies, place ureteral stents or take biopsy samples. For example, the Storz 27029 C pediatric cystoscope includes a sheath with irrigation port for stone management and has a 7 FR diameter suitable for children.

Choosing Your Cystoscope

Selecting the right cystoscope depends on your patient population, procedure types and facility workflow. Rigid scopes are preferred for surgical interventions requiring precision and instrumentation, whereas flexible scopes offer comfort and versatility for outpatient diagnostics. Angelus Medical offers a broad range of options:

• For high resolution imaging with advanced fiber optics, consider the Olympus CYF 5A OES cystoscope. It features a slim 5.1 mm insertion tube and a flexible design, supports video documentation and uses an evolution tip that increases light output and maneuverability.
  
• Clinicians performing delicate biopsies or tumor resections can rely on the Storz 26163 H hysteroscope/cystoscope or the Storz 26163D cystoscope/hysteroscope. Both provide rigid stability; the 26163D measures 7 mm in diameter and 18 cm long.
  
• When treating adults with bladder stones or tumors, a mid diameter rigid scope like the Storz 28124 BR cystoscope offers a balance of image quality and size.
  
• For clinics requiring a versatile scope with a large working channel, the ACMI FO 8168D cystoscope provides a 4 mm diameter and 26 cm length, making it suitable for various urological procedures.
  

Complementary Equipment and Services

In addition to cystoscopes, practices need supportive equipment. High definition systems integrate seamlessly with endoscopy carts for organised storage and video capture. Clinics expanding their urology capabilities can browse Angelus Medical’s comprehensive urology equipment, which includes cystoscopy accessories, biopsy forceps and stone retrieval baskets.

Maintaining equipment performance is critical. Angelus Medical provides calibration certification services to ensure your instruments remain CDPH compliant. For on site support, you can schedule medical equipment calibration at your facility performed by certified technicians. Our local pickup and delivery service and long distance shipping options make it easy to obtain new equipment or return instruments for service regardless of location. If you’re outfitting an entire procedure room, explore our endoscopic surgery equipment for towers, monitors and insufflators that complement your cystoscope purchase.

Learn more about endoscopes

If you are new to endoscopy, Angelus Medical’s blog explains the fundamentals. In “What Is an Endoscope? Uses, Types & How It Works” the team describes how endoscopes use flexible or rigid tubes equipped with a light source, camera system and instrument channels. Understanding this technology helps clinicians appreciate how cystoscopes evolved from general endoscopy devices and why features like optical fibres and channel design matter.

Why purchase from Angelus Medical?

Angelus Medical is a trusted supplier of new and refurbished medical equipment. Each cystoscope in our catalogue undergoes rigorous inspection and certification to ensure safety and performance. By partnering with Angelus Medical, you gain access not only to high quality cystoscopes but also to a comprehensive support network: from calibration and repair services to training resources and flexible shipping. Our team can help you select the ideal scope, integrate it into your practice and maintain it for years to come.

Cystoscopes are indispensable tools for diagnosing and treating urinary tract conditions. Choosing the right scope involves balancing image quality, working channel size, diameter and ergonomic design. Advancements such as high definition imaging, narrow band imaging and variable stiffness shafts improve diagnostic precision and patient comfort. With its extensive product range and support services, Angelus Medical empowers clinicians to deliver high quality urologic care. Explore our collection today to find the cystoscope that meets your practice’s needs.