Cystoscopy

I posted back on the 11th of this month i was scheduled for a cystoscopy as the first test to investigate a PSA level that had increased this past year. What follows is a description of that procedure.

I was escorted to a procedure room about 10 X 15 feet with an reclining exam/couch in the middle of the room. To the left was an equipment rack that held an Olympus cystoscope (flexible borescope). Next to that rack was an IV stand with two bottles of sterile (saline?) solution hooked to an IV line that attached to the cystoscope. At the top of the equipment rack was a small monitor you could watch the insertion of the cystoscope and once inside the bladder, go in a 360 degree exploratory mode.

The pleasant nurse had me get undressed from the waist down and then proceed to climb on to the exam table and cover myself with a paper blanket. The nurse had exited during this part, but soon came back with an iodine wipe and a syringe with a Lidocaine infused lubricating gel. Once she got everything set she took the head of my penis and swabbed the head with the iodine wipe after ascertaining I wasn't allergic to iodine or latex; I answered to the best of my knowledge that I was not. She then proceeded to tell me the Lidocaine gel would feel cool (room temperature) and it did while she injected the syringe to dull/deaden the urethra. Once the gel was injected, she left to get the doctor to tell him the prep was completed.

About ten minutes later the doctor and nurse appeared; at this point the doctor said the entire procedure would likely last about 30 seconds and he was very close on his estimate. He started inserting the cystoscope while also injecting the IV solution just ahead of it to expand the urethra while he was pushing the scope into my bladder. There was no pain, and just a slight feeling of pressure passing through the muscle that clamps off your flow of urine from the bladder. I watched as he looked around inside the bladder which mostly appeared whitish with red blood vessels running in every direction. The one odd appearance was of some air bubbles that also got introduced into the bladder that reminded me of an air pocket at the top of an underwater cave. He then proceeded to slowly remove the flexible cystoscope while having one last look at the urethral walls. He pronounced everything in good condition. At this point, the doctor left and the nurse directed me to evacuate all my bladder contents into a measurement pail with a funnel (for aiming) in an adjoining restroom off the procedure room. Once I was done, the nurse had me get dressed but requested I leave my slacks unbuttoned and my shirt lose so she could get an ultrasound reading of any remaining water in my bladder (per the doctors orders). The nurse said the doctor wanted to see less than 200 ml remaining, I passed the test with 15 measured with a small ultrasound probe held just above the pubic bone.

I then checked out at the front desk and was given one 500mg Amoxicillin tablet to ward off any possible infection. Once I got back home, I drank a 12 ounce glass of water on the hour for the next three hours. During my bladder evacuations after the procedure, I have not had any pain during urination, just a dull feeling of pressure just prior to the start of flow. I have not seen any indication of blood in my flow.

Tomorrow brings a new "first" when I have a prostate biopsy procedure at 08:30 with the same doctor and nurse. I'll let you know what that feels like....

If you were consistent in writing this in past passive tense, it could have been your procedure report!

Good job.

Anyone ever had a cytstoscopy done? Are you awake or sedated for it?

I've had to endure cystoscopy, on a few occasions, due to issues with kidney stones. While stents have been placed with a cystoscope, while under sedation or anesthesia, they have been removed later without sedation. I can't say the procedure was the least bit enjoyable. Bladder irrigation (enema?) was part of the process as well as the injection of a numbing gel into the urethra. When the roto-rooter tool was used to find and grab the stent, it had to pass through the prostate rather than the external contact through the rectum. Rather than pleasurable sensations due to prostate contact inside the rectal canal, the other way was very uncomfortable. In fact, I found it quite painful. The procedure went reasonably quick under the circumstances, but not something I would self indulge in. Now enemas are an entirely different story!

I had on a few years ago. Just numbing jell in my urethra. It wasn't a big deal But then again I like catheters.

I have had 2 cystoscopies done. One was when I was knocked out, and one when fully awake. I would definitely asked to be sedated if I had to have another one. When awake they numb the urethra like the previous poster described, and I did'nt feel any pain until the scope passed through the prostate or maybe the bladder opening but anyhow right at that moment it hurt very bad for only a few seconds, but that few seconds was enough to make me want to never go throught that again. So if you have a choice take the sedation.

I had one done a year ago; just numbing gel in the urethra and about ten minutes later the urologist just snaked the borescope into my bladder. I just felt slight pressure as it went through my prostate, but there was no pain in my exam. You get to watch the borescope pix.

I have had a couple. They just squirted some numbing gel into the urethra. Like @watertrain, there was pressure, but no pain. The first one, there was no monitor; the doc looked through an eyepiece. The second was on the monitor and I could watch the procedure.

I have had several done in the last year. The doc injects some numbing stuff intot he uretha, then inserted the scope. There is some pressure, no pain for me. The doctor moved the scope in and out and turned it about to see all around the bladder, then withdrew the scope.

Whole process was less that 5 minutes.

Some years ago I had to have a cystoscopy with sedation. I got the injection in OR when I was sitting already in the surgery chair and was finally prepared for the treatment. Some minutes later I woke up with only little pain in urethra – so it was okay.

Actually I was more afraid of the sedation than the cystoscopy and afterwards the sedation was really worse.

Greets

Blume

I had one 4 months ago. The nurse did the prep, which involved cleaning my penis with iodine and then some type of alchohol solution. Then she squirted the numbing gel into my penis. The doctor came in after about 10 minutes and performed the exam. It was uncomfortable but not painful. Only took 3-4 minutes. Not a test that I enjoyed but was happy the results turned out fine.

I've had one cystoscopy done in the urologist's office. I had no warning and did not expect this on my first visit. But I had been cathed before for a couple of minor surgeries< so the thought didn't freak me out. His nurse came in with a gel anesthetic which she slowly injected into the urethra with a blunt syringe. There was a mild burning sensation. A clamp was put on the tip of my penis to prevent leakage. A short time later the doc comes back in with the nurse together with the equipment cart and scope. The sight of the scope was scary -- bigger than what I use in cath play now -- but the doc took insertion slow and there wasn't any pain, but I could feel it snaking down. The scope was quickly withrawn and came out easier than it went in. Peeing afterwards was no problem.

I never had one my doc said I do t need it yet but I would like too exper it but I will complain about somthing just to get on

I had one a few years back at the urologist with no knowledge of really what to expect (had an exam where there was still blood in my urine with no real cause). He said that there was an opening in the schedule and he could do a Cystoscope in a few minutes. I was told to go and relieve myself first. Then I was given an anti-biotic pill and was told this was to avoid infection. Then I was escorted to the exam room, the nurse had me undress, put on a gown and get on the table where my legs were covered with a blanket. She them washed my penis with iodine and said to relax until the Dr was ready (yea right relax). When he arrived there was chit chat while he put on gloves and such. Then he approached the table and grabbed the scope from the tray. The nurse held me penis and said "Just relax and look away". He put in the scope and did the exam which felt like it took hours but I'm sure it was 2 or 3 minutes. Thought I'd pass out. He removed the scope said all looked OK, the nurse cleaned me up and then said that I could sit up. My head was spinning so the nurse suggested that I lay back down again. Finally seemed OK, got up, dressed and left. Never had sedation or any numbing gel but I will never let that happen again. They will knock me out first 😃 .

I guess it all depends on the underlying ailment that is the reason for the cystoscopy, but I had a urinary tract infection last spring that would not resolve, even after five rounds of antibiotics. The cystoscopy was a total non-event. He introduced the scope, gave me a guided tour of my bladder and where the ureters enter the bladder, declared that there was no sign of long-standing infection, scarring or other damage, withdrew the scope and I went on my merry way. From my point of view, I have no idea what the big deal is.

Definitely not sedated, what would be the point?

Many, many years ago, cystoscopy was performed with a rigid scope, unlike the flexible scope usually used today. Office procedures back then were much more uncomfortable when performed without sedation. With today's flexible scopes and numbing gel, they are much more tolerable -- and you can introduce instruments through the flexible tube for biopsies and other procedures.

I think the worst part is when you get up and pee the first time after the scope is out. The cool thing was they gave me some pills that turn your pee smurf blue and help to numb things for next few times you have to urinate. It was akward to have the nurse hold the tip of my penis shut after she put the numbing gel in. I was too scared to enjoy it at the time. Also got a nice ultrasound of the prostate with the rectal probe after the cystoscope.

I had one done last year basically the hot female nurse came in and gave the numbing gel then held my tip closed while stroking my shaft. I started to get hard and she commeneted that most men can't when they're numb. After that the dr. came in and stuck the catheter in and proceeded to fill my bladder full of saline which got me excited again and he also commented about me starting to get erect. I just said that the numbing gel must not be working ;-)

I had a flexible cystoscopy done in the doctor's office about 2 weeks ago. The only meds involved was the lubrication infused with lidocaine. Probably didn't even need the numbing. Scope was easy and fascinating. Doc gave me a tour of my body on the video screen. The whole process, from numbing to discussing took no more than 5 minutes. Some weird sensations on the way in and out but zero pain.

The weirdest thing was watching the video of my own penis as the scope approached and entered.

The old rigid scopes were mostly 30 Fr (10 mm.) in diameter. Modern flexible ones are as small as 23 Fr. If one relaxes, any adult male can deal with that instrument.

The last time I was scoped, I was having prostate issues and the only part that was at all difficult was a bit of a twinge when the scope went through my bladder sphincter.

The problem is that most men tense up and make the procedure painful.

As a suggestion, have someone drive you to and from the doctor. Ask for a pretty healthy valium before the procedure. Piece of cake.

Speed

A few years ago I had blood in my urine. Was told by my GP to go to urologist. He explained to me that he was going to do a cystoscopy.

He left the room and the cutest young PA came in and numbed my penis and put the clip on it and told me to wait for the doctor. Thank goodness it was a flexible scope and the entire procedure took about one minute. The most uncomfortable part was when he was removing the cystoscope. All in all it was not painful just a little uncomfortable. By the way he saw a small cyst which he removed.

He wants me back every six months.

I have had way to many cystoscopies. I am a 2 time bladder cancer survivor. Unfortunately, the urologist use the old rigid scope and all of the scopes were always painful for me. He never offered for any to be done in out patient. My bad. I should have spoken up for myself. At the time, however, I was more concerned at what he would see as it would be the deciding factor if more surgery and chemo would have to be initiated. Not a good time in my life. Not good at all.

In my only experience with cystoscopy I was completely awake, alert and aware. I was aware of the significant discomfort of the procedure and reminded of it every time I urinated over the next several days. Another reminder was the slight blood staining in my underwear after the procedure. I did get a bolus of lidocaine placed in my urethra which also acted as a lubricant. The doctor placed a clamp on the head of my penis to hold the lidocaine in place while he prepped other equipment. I can't help but think that another two or three minutes may have made the difference with a little less pain.

I'm having one done in a few weeks. Joy.

It's hard to tell if I got anesthetic because I don't remember funny how versed works

Cystoscopy;

I have had to undergo at least 8 cystoccopys and 4 urine voiding tests as a result of a prostatectomy done almost 10 years ago.

The most recent a few months ago. I had signed in and was waiting and a nurse very softly called a name. Excuse me I could not hear what name you called I said.

Are you Deltin she said? Yes I’ am Mister Deltin. Would you come with Me Please she said with a smile. We walked down the hall and came to the exam room. She pointed to a chair next to her computer station and I sat and she started filling in information. We chatted a bit while she did the necessary vitals.

She was a pleasant lady, pushing retirement age, and in her youth would have been very attractive. She stood up and said here is the room you can change in here take everything off and put this on, handing me a Green gown. There is a toilet right there if you have to go. She had the smile again and I really felt comfortable with her. She slipped out and closed the door. I removed all my clothes and put on a pair of slipper socks. Then I started to put on the gown. This gown was different than the other thin threadbare with bits of string gowns that I had in the past. It had some slots and ties in odd places and I was turning it over trying to figure out where the top is. I opened the door a bit and asked if she would show me how this goes. So there I was nude and she took the gown gave it a shake and a turn and put it on me and had it tied in an instant. There that’s better isn’t it she said with her smile and I noticed her eyes were a very pretty color. She gave me a very light pat on the butt and said go to the big chair.

She helped me sit in the chair and she pulled up my gown a bit and put some drapes on my legs. She opened a kit put on some gloves and got some brown antiseptic and washed my penis and all the groin area. I keep my pubic hair cut short and I think she liked that. She added more drape and she explained that the Doctor will have to open my artificial sphincter so she could inject the lidocaine. The Doctor came in and squeezed the bulb in my scrotum and the valve opened. He pushed the lidocaine in and waited a minute and then started the scope into my urethra. I was watching the screen and the nurse was holding my hand and talking to me very quietly. It was a little uncomfortable and I have had worse. I could see the inside of my bladder as he guided the scope. He removed the scope watching the implanted valve close the urethra. The Doctor said everything looked good and that I was able to go to the next test and he left the room.

The nurse started cleaning things and removing the drapes and I wanted to get up and she said stay a minute or two in the chair and rest. Her beeper chimed and she went to the phone and talked a minute. She came over to me and said the room for your next exam is not ready. You will have to get dressed and go back to the waiting area. She helped me get up and I went through the door to the dressing room and I shut the door. I was struggling with the ties and I opened the door a bit and asked could she untie the gown.

She came right in undid the knot and the gown fell off. I had to pee so I sat down on the toilet and a drip or two came out.

She was over at the sink running water and I said I have to wash myself. She said step over here and I will fix you right up. I took a step or two next to the sink and she had a wash cloth dripping with suds and started to wash my genitals and groin. The warm soapy water felt so good and she was through but gentle. She told me to turn and bend over and she washed my anus. I was told to turn again and she rinsed the cloth and washed me with clean water twice. She grabbed a towel and rubbed everything dry. I had not been pampered like that ever. The entire time she was chatting and smiling. She was spoiling me and I was enjoying it.

She stayed in the room with me while I dressed and she walked me to the waiting room to wait for the next procedure.

That will be another posting

Deltin.

Ive viewed one before in a surgical setting on a male patient. The patient was sedated by the time they brought him back to the surgical room. He probably would have been super embarrassed if he was a wake considering he was undressed pretty much the whole time and all three young females were making awkward sex jokes. The doctor performing the surgery used the "older method" which didn't involved electronics of any sort. I can't even imagine wanting to be awake for this precedure, so much blood was pouring out of the patients urethra. It still makes me cringe. After the doctor left the patient was exposed for another five minutes or so being cleaned up. Yeah, super awkward if you are awake.

Had mine. It was unpleasant but over quickly and found nothing. Yay! Numbing gel followed by the (flexible) scope. Didn't even come CLOSE to a cervical biopsy pain wise.

I have had two with flexible scope. It's a bit uncomfortable but after the numbing gel is applied there is no real pain. The first time you pee afterward burns a bit. They tell you to drink lots of water and that is very goof advice.

I had one yesterday. I have them roughly every 6 weeks but have had two in 3 weeks due to an issue I have had. I'm always awake and all they use is a syringe of instiliagel ( it's meant to numb the uretha, but it doesn't). It's not too bad. It stings and burns a bit on entry and the same on exit but whilst it is inside it feels fine . The first time you pee afterwards is uncomfortable .