Rigid Cystoscopy

Just wondered if anyone has ever had a rigid cystoscopy without a GA ?

I had a flexible one carried out on Tuesday but my stent has slipped again and my Uro Dr wants to try and wiggle it back into place without removing it .

He said I can have morphine and the numbing gel , and if I really can't tolerate it he will stop .

My lungs are not quite strong enough to tolerate a GA just yet , but I'm curious as to how much it will hurt.

Several years ago, before flex. cystoscopies were available, my boss had kidney stones and had several rigid cystoscopies, with no anesthesia, or analgesics. He told me that they really hurt. If they are offering strong narcotics, I would expect some significant pain. Ask them to give you Fentanyl (synthetic narcotic); it feels fantastic; almost like an orgasm!

I had this done with entinox . It didn't feel too bad at all until my stent was pushed into place . Then it hurt like hell .It felt like I'd been stabbed 100 times right through my kidney . I left the hospital 6 hours later after a shot of morphine. 24 hours later I was back in Resus with a temperature of 40.3.

Since then I've spent 10 days in HDU and 3 days on the urology ward with urinary sepsis.

I'm hoping I get to go home later today .

Glad you are much improved Nikki!

I have on 3 occasions. The very first one was to retrieve a stent that was placed to allow the flow of urine due to a kidney stone. It was placed under GA, and I subsequently had Lithotripsy. I was in the urologist's office a week later for follow up. He offered to remove it then and there. After having embarrassed myself at the hospital the week prior, I didn't want to return. The pain was horrific for a few moments, as he used the "claw" to snatch the stent. My post is elsewhere regarding my stupid statement to the nursing staff.

I've had it done two additional times and hated each experience. I've also posted about the "bladder enema" or irrigation. There was nothing pleasant about either situation. Even the nurse who "prepped" me couldn't get a rise out of me...or should I say even a grin...as she tried to liven up the dire circumstances with her wit.

I say stick with the enemas and p-spot play. Avoid anything rigid, into the end of your most prized possession, whenever possible.

My sentiments exactly SSE4. I can't even imagine doing that and all I've had is a foley.

About 2 months after the removal of a malignant tumor from my bladder, the urologist had me come in for the removal of the stent he put in to a ureter, after tumor removal. The tumor had been right next to the ureter and the Dr. was afraid that I might develop a scar over the ureter and not be able to drain the one kidney. He put a nylon stent just inside the ureter. He went up there with a flex. cystoscope and yanked it out; out of the ureter, through the bladder and right out the urethra in one fast pull. It smarted a bit. I can only imagine what that would have felt like with a rigid cystoscope.

The Doc told me that the removal of the tumor would be done with several rigid scopes, perhaps a cautery. For that reason, I was given a general anesthesia.

I wonder how much pain is because of tensing up not relaxing would sounding help get used to having something that big inside the urethra? I was given Fentanyl for a colonoscopy it was wonderful the best legal high you will ever get.

I had 2 rigid cystos at Kaiser. They were mor intense than the flexible. I was in stirrups. The nurse injected my urethra with numbing gel, then put a clamp on my penis for 10-15 min. My wife was sitting there watching, thinking it was funny with me spread out in stirrups instead of her. I don't know how they got that thing in me but they did. A mist intimidating-looking device

I’ve had rigid cystoscopy with a urolift with only local anesthesia. When I got to the surgery center had to undress and put a gown on and lay on a bed under a blanket. After a while 2 nurses came in and told me they were going to numb me up with some lidocaine. First they pulled the blanket down and pulled the gown up exposing my genitals. Then they cleaned my penis with some betadine and then inserted a catheter to drain my bladder. After draining my bladder they squirted a larger syringe of ice cold lidocaine into my bladder and removed the catheter. Then they squired a syringe of ice cold lidocaine gel into my urethra and put a clamp on my penis to keep the gel in my urethra. After 15 minutes or so they came back and wheeled me into the procedure room. I had to scoot onto the procedure table and the nurses pulled my gown up to my chest exposing my lower body and strapped my arms to arm boards and put straps across my chest and abdomen and then placed my legs spread in high stirrups and strapped them down. All of this was to prevent me from squirming. The doctor then scrubbed by pubic area and upper thighs and butt crack to my anus with betadine. The nurses and doctor then covered me with sterile sheets exposing only my penis and testicles and area below my testicles. The doctor told me if I couldn’t handle the pain she would have to inject more lidocaine through my perineal area into my prostate to numb me up more. The syringe had a 5 inch spinal cord needle in it. Luckily I didn’t need that. The doctor said she was going to get started and brought out the rigid cystoscope. It looked very scary , very long and a 24 French size. She grabbed my penis and stretched it stretched it straight up and began inserting the scope. It didn’t really hurt but it was a lot of pressure. I could feel it going all the way in. When she got to my bladder she had to tilt the scope way down town toward the floor. This was real uncomfortable around the base of my penis and a bit uncomfortable going into my bladder. I had a very full feeling. When she pulled the center out all of the lidocaine drained out of my bladder and ran over my testicles into a catch basin at the foot of the bed. It felt very cold and stung a bit. Then she got started inserting the urolift implants. It really didn’t hurt but it involved moving the scope far left and right and up and down. It hurt inside the base of my penis a good bit. It was a sharp pinch when she released the needle through my prostate to set the implants. She inserted 6 implants and was done in 15 minutes. Pulling the scope out hurt a good bit, it was a very weird feeling being pulled out of my penis. Finally the nurses that were holding me immobile let go of me. When they helped me scoot back to the original bed I looked down at the catch basin at the foot of the procedure table it was bright red with blood. Back in the original room I started in the doctor came and had me stand up and try to urinate into a urinal. Was a little weird standing in front of a 40 year old good looking female doctor and peeing bright red urine into a urinal. If I couldn’t urinate she was going to insert a Foley catheter to go home with. Luckily I was able to urinate. She said I could get dressed and handed me a woman’s panty liner and told me to use it in my underwear as I would have some blood dripping from my penis, which I did. Now I know how women feel. The whole experience wasn’t bad, I would do it again

I've had two rigid cystoscopies done in my urologist's office due to a couple of bad bladder infections and very frequent peeing. He has used the #19 French and #21 French rigid scopes. The worst part, for me, is the injection of the 3% lidocaine into the urethra, stings like hell at first. There is a lot of pressure inserting the scope to the base of the penis, a strong "pinch" as the scope passes through the prostate and into the bladder. For a couple of days afterward I sit to pee as the burning can be a bit much before it starts to disappear. Just prior to the procedures I was on my left side and had an intense rectal/prostate exam before being placed in the stirrups. At my last scope I also had a rectal done while in the stirrups.

Nik, since your female a rigid scope shouldn't be that bad. The urethra is obviously much shorter.

This thread is 2 years old. Maybe you could update us.

Thanks.

I've had both flexible, done in the docs office (a couple at this point) and a rigid combined with a trans rectal ultrasound (TRUS) in a surgical center. The former was done with just lidocaine injected into the urethra. The later was done with a spinal block as I did not want GA, but I guess the TRUS would have been a might bit uncomfortable. They were also doing bladder distention at the same time.

Results of all that proving a narrow but not enlarged prostate, still causes partial obstruction. Overactive bladder (OAB) and some IC.