Flexible Cystoscopy
Patient anxiety prior to flexible cystoscopy is well documented. The Surgassists module gives patients a first person experience of what to expect, significantly reducing anxiety and improving willingness to attend follow up surveillance, particularly important in bladder cancer monitoring pathways.
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Systemic Gaps in the Informed Consent Pathway
Procedural Understanding
Patients awaiting flexible cystoscopy often have limited understanding of the endoscopic pathway. The intimate nature of the procedure means written leaflets frequently fail to prepare patients adequately, leading to avoidable distress and cancelled appointments.
Anxiety
Anxiety before flexible cystoscopy is particularly high, driven by fear of pain and the intimate nature of the examination. Patients who are poorly prepared are more likely to experience heightened pain perception and less likely to attend follow up surveillance.
Attendance and Compliance
Non attendance at flexible cystoscopy, particularly in bladder cancer surveillance pathways, represents a significant clinical risk. Improved patient preparation directly supports attendance and compliance.
Montgomery Compliance
Clinicians must ensure patients understand the material risks under Montgomery standards. Time pressure in busy urology clinics makes genuine comprehension verification difficult when relying solely on verbal explanation.
Replacing static information with immersive understanding
Surgassists delivers a first person immersive walkthrough of the flexible cystoscopy procedure, giving patients direct experience of the environment, instrumentation, and step by step process before they arrive at clinic.
Augmented Reality Overlay
AR projects life size anatomical structures into the consultation room via tablet or AR glasses, allowing the clinician and patient to explore anatomy together. No headset required.
Virtual Reality Mode
Using a standalone VR headset, patients are transported into a calm, 3D clinical environment with life size anatomical structures and narrated guidance through every stage of the procedure.
What Patients Experience
A guided journey through four immersive scenes preparing patients for every stage of the procedure.

Enter the Procedure Room
Patients see the cystoscopy suite and equipment before arrival.

Instrument Familiarisation
The flexible cystoscope is shown in life size scale with narrated explanation.

Procedure Walkthrough
Patients follow the step by step cystoscopy process from a first person perspective.

Risks and What to Expect
Potential complications, post procedure sensations, and when to seek advice.
Designed for the Real Clinical World
7 Languages
Spanish, Italian, Polish, Punjabi, English, Romanian, and Arabic.
2 to 5 Minute Sessions
Designed to fit within a standard outpatient appointment or viewed at home.
Evidence Based
Developed in collaboration with NHS Hospitals and peer reviewed research.
Life Size Anatomy
Anatomically accurate, immersive structures that improve spatial comprehension.
Montgomery Compliant
Supports the legal standard for informed consent set out in Montgomery v Lanarkshire.
Improved Outcomes
Better informed patients make better decisions and have improved procedural tolerance.
Research Publications
See the Flexible Cystoscopy Module
Request a clinical demonstration to see how Surgassists reduces anxiety for flexible cystoscopy.
Request Clinical Demo