The BUI performs a large number of flexible cystoscopies for both diagnosis and follow-up. The department has 16 flexible cystoscopes for routine use, which are high definition and enable narrow band imaging.

Patients can be referred for a cystoscopy if they meet the two week wait cancer criteria, and in most cases will have a cystoscopy on the day of their appointment if deemed necessary. For routine cystoscopies, patients are normally seen in clinic to be assessed by a clinician first, and will then be given an appropriate date for the cystoscopy.