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Doctor insights on: Urologist Want Put Cystoscopy Wants Numbing

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Why might one urologist want to put me to sleep for a cystoscopy while another wants to just use numbing jelly?

Why might one urologist want to put me to sleep for a cystoscopy while another wants to just use numbing jelly?

Different goals: It is likely that the one doctor wants to put you under is concerned that he may have to do a biopsy. The one who wants to use the gel is most likely thinking that you do not have anything that needs to be biopsied. ...Read more

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Dr. Simon Kimm
476 doctors shared insights

Cystoscopy (Definition)

Cystoscopy is a procedure where a small instrument called a cystoscope is inserted into the urethra and advanced into the bladder in order to visualize the ...Read more


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What is involved is seeing a urologist for a cystoscopy?

What is involved is seeing a urologist for a cystoscopy?

Several steps.: Cystoscopies are commonly office procedures. You will be asked to undress, put on a gown, then lie on table or chair. Your groin is prepped with antiseptic solution. A numbing gel may be placed in your urethra. A cystoscope will be placed into the bladder by the urologist; the initial entry is the most uncomfortable part. Irrigating fluid will enter your bladder. You may get an antibiotic. ...Read more

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Why might my urologist not want to see me as a patient unless I get a cystoscopy?

Dr should explain ?: You must have seen the dr if s/he is your urologist. Dr is correct if you have blood in urine, mass in bladder seen on ultrasound or as part of work-up for urinary symptoms. However any good dr. Should be prepared to explain reason for any procedue including cystoscopy. ...Read more

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My urologists could not perforfo a cystoscopy because the was shrieked due to radion done previously all tests ok can u skip surgery for enlarging hol?

Here are some ...: I could not figure out what is the points of pertinence and relevance in this question so I deferred answering until I could sift through to understand. If possible, please reword the question so I and more my colleagues can help you. Best wish ... ...Read more

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If my urologist finds bladder cancer during my cystoscopy can he just remove it right away?

If my urologist finds bladder cancer during my cystoscopy can he just remove it right away?

Bladder cancer: Sometimes, if the lesion is quite small. If it is a first occurence, your urologist will likely want to biopsy and wait for the pathologists interpretation before proceding with cystoscopic treatment and likely further biopsies under anesthesia. ...Read more

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What is the probability a urologist could miss something during a cystoscopy? I have had penile pain for a long time & nothing was found to be wrong

What is the probability a urologist could miss something during a cystoscopy? I have had penile pain for a long time & nothing was found to be wrong

Unlikely: Unfortunately, penile pain is a symptom for which we rarely find the cause. Cystoscopy can only evaluate the urethra and bladder, so most of the penis is not evaluated by this study. If something were there to be found, your urologist would have seen it. ...Read more

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I had a cystoscopy today for bleeding and protein. Urologist said was normal. Will i be ok. I don't want to have cancer or disease later on in life?

I had a cystoscopy today  for bleeding and protein.  Urologist said was normal. Will i be ok. I don't want to have cancer or disease later on in life?

More tests needed: Bleeding in the urine is not normal and needs to be explained. Cystoscopy looks at the bladder, but not the kidney, so you may need further tests to check the kidneys as a possible source for the bleeding. ...Read more

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Small to medium blood in urine for 6mo, told it's no concern. Cystoscopy normal. Urologist wants to see me in 6mo. What else can it be? Worried

Small to medium blood in urine for 6mo, told it's no concern. Cystoscopy normal. Urologist wants to see me in 6mo. What else can it be? Worried

Sometimes excercise: can cause small amounts of blood in the urine. your urologist is correct that it is probably not anything to worry about. she/he is also correct to follow up with you to see if it is still there in 6 mos in which case additional testing (for example imaging of the kidneys) might be indicated ...Read more

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32yoF Urologist referring me 2 a Nephro for +1micro hematuria.Neg culture, normal renal ultrasnd, normal cystoscopy, normal cytology. What cld it be?

32yoF Urologist referring me 2 a Nephro for +1micro hematuria.Neg culture, normal renal ultrasnd, normal cystoscopy, normal cytology.  What cld it be?

Hematuria : Primary kidney disease needs to be ruled out and in some patients based on history and serologic test a Kidney biopsy maybe needed. ...Read more

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A f/u visit w/urologist in jan. Showed i had blood in urine again. Had cystoscopy done last week & was told i likely had a ureterocele. Implications?

Depends ?obstruction: Ureteroceles usually dianosed by bladder ultrasound. No intervention unless ureterocele is causing any significant obstruction evidenced by hyrdonephrosis (kidney swelling) on that side. Is it simple single system ureterocele or ectopic with duplex kidney? Simple cystoscopic incision, to allow uretrocele to drain. Why not done at cysto? Would be happy to review us for 2nd opinion if sent by email. ...Read more

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Aftr urination, my whole abdomen scan shows pvr vol 43 ml.Urologist said i hav to do cystoscopy to dilate urethra.Shud i undrgo dis?M a bit worid.:-(

PVR: A post void residual urine volume of 43ml is not highly abnormal. Unless you are having a very weak stream or a split stream, painful urination or blood in the urine the cystoscopy with dilation might be a little excessive? Discuss the indications with your urologist. ...Read more

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Frequent urge to urinate for months,small amounts 25+times a day,no incontinence,no UTI, no IC,cystoscopy ok,seen 4 urologists,very tired.Please help!

Frequent urge to urinate for months,small amounts 25+times a day,no incontinence,no UTI, no IC,cystoscopy ok,seen 4 urologists,very tired.Please help!

Could incontinence: I don't think it's easy to say that you don't have IC. The symptoms you are describing could either be IC, it could be urge incontinence, it could be a prolapse of the bladder or other pelvic floor dysfunction. You could have issues with bowels pressing on the bladder. What medicine have you tried besides antibiotics? I would recommend bladder training and possibly botox. ...Read more

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Why do I still suffer with occasional burning urination and terminal hematuria? Seen urologist had cystoscopy no Uti everything normal.

Why do I still suffer with occasional burning urination and terminal hematuria? Seen urologist had cystoscopy no Uti everything normal.

Hematuria: This can occur from numerous things, including infection, stones, cancer, kidney disease or injury, medications and even strenuous exercise. Would strongly recommend seeing a nephrologist or good general internist for a full detailed evaluation. Cystoscopy is not a definitive procedure to exclude all causes. ...Read more

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60 yrs Asymptomatic Microscopic hematuria urine 2.5 yrs. No protein BP low. Urologist did cystoscopy. Neg. said common. do I need to do more? RBC 3.84

60 yrs Asymptomatic Microscopic hematuria urine 2.5 yrs. No protein BP low. Urologist did cystoscopy. Neg. said common. do I need to do more? RBC 3.84

It can be benign: Some people are prone to have a few RBCs in their urine. As long as your Bladder and Kidney are checked out to be healthy and free from any tumor or growth, then you can ignore it. I would suggest that you get your kidneys checked out with a CT scan of the abdomen to be sure that there is no tumor there. ...Read more

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Asymptomatic Microscopic hematuria in urine at least 2yrs. No protein Urologist did cystoscopy. Nothing. Said idiopathic. Causes? Please be specific.

Asymptomatic Microscopic hematuria in urine at least 2yrs. No protein Urologist did cystoscopy. Nothing. Said idiopathic. Causes? Please be specific.

Microscopic hematuria: It could be a benign condition, Ig A nephropathy or thin basement membrane disease. Make sure bp is normal and kidney function is stable. Other reasons could be other glomerulonephritides, but they usually give rise to protein in the urine. Some people have have kidney cysts or small kidney stones but they also give rise to frank blood in urine. ...Read more

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Are cystoscopies normally done every 2yrs? Normal cystoscopy but urologist said that's the frequency. 28yo SLE pt w/hematuria. Referred 2 nephrologist

Are cystoscopies normally done every 2yrs? Normal cystoscopy but urologist said that's the frequency. 28yo SLE pt w/hematuria. Referred 2 nephrologist

See nephrologist: Would discuss with your rheumatologist and nephrologist. Most ofter with lupus blood in the urine is due to lupus kidney disease called glomerulonephritist which is treated with your rheumatologist and nephrologist. There are other causes of hematuria including infection, kidney tumors or kidney stones. I assume all of this has been evalauted ...Read more

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Micro hematuria 2 yrs. Both Upper CT Scan & cystoscopy neg. Urologist says idiopathic. Urinalysis Hemoglobin, small, RBC 2-5. What could be the cause?

Micro hematuria 2 yrs. Both Upper CT Scan & cystoscopy neg. Urologist says idiopathic. Urinalysis Hemoglobin, small, RBC 2-5. What could be the cause?

Need more exams: your physician should undertake a complete evaluation and order some additional tests -- depending on your age, the blood could also be from your genital area, etc. ...Read more