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Medical Forum / Diseases and Disorders / Prostate BPH / March 2005

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Scoping the bladder? PAIN?

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Zork - 01 Nov 2004 21:01 GMT
It has been decided by a new Uro that I have that he would like to
scope the bladder for various reasons. I previously had this done in
a hospital and was 'out' for the procdure. My current Doc choses to
do it in his office.
My question is:  how painful is this procdure ?  How long does it
normally take ?  I am a "chicken" and don't much like pain.
Should I insist on being 'put under', or is it not a big deal. I can
self catherize with no problem, btw.
Thanks ! ! !
Zork (the cowardly)
Spread deMocracy - 01 Nov 2004 23:46 GMT
Don't know your threshold for pain. I didn't think I had any pain at all.
Just couldn't get my mind around something being shoved up my pecker.  My
Uro used a topical anesthetic, maybe Zylocain?? up the channel,  then in
went the scope.  Not sure if the Zylocain had enough time to work and it if
might have a been a touch less uncomfortable if he had waited about 5 min
before shoving his scope in. Then sit back and focus your mind hard on a
sunny day at the beach to consciously relax the channel as much as possible.
It only took about 10 minutes for the entire procedure...not long at all.
Best of luck to you.

"Zork" <zork100@worldnet.att.net> wrote ... I have...to
> scope the bladder ...in his office...Should I insist on being 'put
> under'...
Lee M. - 02 Nov 2004 00:14 GMT
My uro's nurse injected the lydocain and said it needed 15 min to work.  The
actual exam took only minute or two and there was one moment of intense pain
("that usually gets their attention" the doc said as I gasped).  That was
the easy part.  Peeing razor blades for the next 36 hours was much worse
than the actual exam.  I doubt that they would put you under for this type
of procedure.

> It has been decided by a new Uro that I have that he would like to
> scope the bladder for various reasons. I previously had this done in
[quoted text clipped - 6 lines]
> Thanks ! ! !
> Zork (the cowardly)
Jim W. - 02 Nov 2004 00:52 GMT
I've had a couple of cystoscopies that checked out the prostate and at least
some of the bladder and I didn't find them uncomfortable at all.  The only
sensation is when the tube passes thru the prostate and that wasn't a big
deal.  I'm not a big fan of pain either but this was a piece of cake.  Jim
w.

> It has been decided by a new Uro that I have that he would like to
> scope the bladder for various reasons. I previously had this done in
[quoted text clipped - 6 lines]
> Thanks ! ! !
> Zork (the cowardly)
Philip Magallanes - 02 Nov 2004 05:32 GMT
Will he use a flexible fiber optic?  If so, it may not be too uncomfortable.
A rigid instrument is more likely to be very uncomfortable.

Phil

> It has been decided by a new Uro that I have that he would like to
> scope the bladder for various reasons. I previously had this done in
[quoted text clipped - 6 lines]
> Thanks ! ! !
> Zork (the cowardly)
Fred Kahan - 04 Nov 2004 15:43 GMT
> Will he use a flexible fiber optic?  If so, it may not be too uncomfortable.
> A rigid instrument is more likely to be very uncomfortable.
[quoted text clipped - 11 lines]
> > Thanks ! ! !
> > Zork (the cowardly)

In agreement with others, I experienced no pain during cystoscopy
because of the depth of local anesthesia provided by the per-urethral
lidocaine gel that is administered. Indeed I experienced unsually
rapid flow and complete bladder emptying following the procedure ..
which I am taking as a good omen for the PVP I will be undergoing next
month. HOWEVER for two days after cystoscopy you should be prepared,
once the lidocaine has worn off, for alarming (but ultimately
inconsequential) pain during urination. On the morning after the
procedure, I was barely able to produce a few drops of urine and
experienced intense urethral pain. I took 1g aspirin and 800mg
ibuprofen and by noon I was able to achieve a modest stream. As the
day wore on, my symptoms improved and my recovery was complete (with
my usual high dose of Flomax) after another 36h.
Bottom line .. don't panic!
Mike Berkowitz - 03 Nov 2004 06:26 GMT
I have had three in-office scoping experiences. All three times they
pushed a lidocaine gel down the pipe. I am a chronic pain sufferer so
I am very sensitive to pain. I never really felt any pain just some
discomfort. I had some burning afterwards but they gave me something
for that.

>It has been decided by a new Uro that I have that he would like to
>scope the bladder for various reasons. I previously had this done in
[quoted text clipped - 6 lines]
>Thanks ! ! !
>Zork (the cowardly)

Best regards,

Michael Berkowitz
Howard and Hope Sharrott - 13 Nov 2004 01:54 GMT
I had it done in office..worst part is having some young female nurse
numbing your pecker..numbing does not work too well...hurt most when
scope entered bladder..the when you pee it BURNS for a couple days.
Best to you      Howie
Buford - 14 Mar 2005 05:00 GMT
My URO wanted to do it in the office and I insisted on not being awake and
he graciously accomodated my request at an outpatient surgery center. Never
knew a thing.
 
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