During a cystoscopy, the patient is usually positioned lying on their back. The procedure can be performed under local, regional, or general anesthesia, depending on the patient's condition and the complexity of the examination. The cystoscope is gently inserted through the urethra into the bladder. Sterile fluid may be used to fill the bladder to provide a clearer view. The camera transmits images to a monitor, allowing the physician to inspect the bladder lining for any abnormalities.