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The surgical position during a cystoscopy is most commonly the dorsolithotomy position. In this position, the patient lies on their back (supine) with the legs in stirrups, allowing for optimal access to the pelvic organs, including the bladder. This posture provides the necessary exposure and facilitates the insertion of the cystoscope through the urethra into the bladder.

While the supine position is also partially correct since patients are initially placed on their backs, it does not provide the specific orientation and access that the dorsolithotomy position achieves in surgical settings. The sitting position is not typically used for cystoscopy because it restricts access to the bladder. Additionally, the prone position is generally contraindicated for this procedure, as it does not allow for the necessary approach to the urinary tract. Thus, the dorsolithotomy position is uniquely suited for cystoscopy, balancing patient comfort and surgical access.