Urological examination

What was the most painful urologic procedures that your doctor made to you or you who is a doctor which procedure is more painful and hard you've done in your patient. :😃

Inserting the cystoscope. It hurts going in and burns coming out

I would agree with Cystoscopy! I was even put OUT and it hurt afterwards and pissed some blood for several days

I was a 12 year old boy with urinary problems. I Was to be in the hospital and have the roto-ruter treatment to clear out blockage. The nursers and Dr. did not tell me much about what would happen other than I would sleep through it. Yep I did just that, woke up with a cute nurse telling me to call her when I needed to pee. OK, 12 year old with bonners and no one gave me a good reason why not just hop down and go piss (in my mind I had been doing just fine for 12 years, did not need any help).

Well,,,, let me tell you, while I stood before the crapper someone must have shoved a hot poker up my dick. I clamped the head with one hand, grabed the handicapped rail with the other and screamed.

It was told to me after I came to that two nurses could not get me to release the bar or my dick so someone gave me a shot in the ass and I am told when I slumped down, piss & blood went everywhere on everyone.

I could not get a steady stream for weeks after that. I could only manage a trickle and then flinch and clamp off, took what seemed like forever to not flinch.

I can only imagine that the doctor used a LARGE garden hose (with the nozzle still on the end) up my little friend.

Don't ever wish to have that happen again.

Cystoscopy must be a painful experience. So far the most intruding test I had at the urologist was a transrectal ultrasound.

Has anyone ever come across a video showing a male patient undergo cystoscopy? Would be very much interested in that. Thanks.

Can you describe the transrectal ultrasound ?

Del

Del,

The reason most would say the TRU is invasive because they are not used to having things inserted in their rectum. If you are used to it, it's really not that disturbing.

A thin small transducer wand is inserted into the rectum. This is usually done to get a better view of the prostate gland. If needed, this transducer can also insert a small needle to snag a small piece of tissue from the prostate to be sent to pathology to exclude malignant from inflammatory nodules or tissue.

It is quite embarrassing either way to have an ultrasound technician insert things into the anus, but they have done it numerous times. Unless your an anal extremist, it isn't a super enjoyable experience, but there really isn't anything to be concerned about. You only feel pressure and manipulation can cause prostatic fluid to leak from your penis during or after the procedure.

I hope this helps

I would say cystoscopy even thought it wasn't that bad. I still didn't like it and I don't want another.

I have not had one (yet), but I suspect there is a wide range of experiences in cystoscopic procedures due to the differences in scopes (the old rigid scopes have to be considerably more awful than the new flexible ones), the skill and care of the physician--one in a hurry can make an unpleasant scope a horrible experience--and, the size of the patient's urethra.

[quote author=carrfear link=topic=37473.msg326270#msg326270 date=1291650840]

I have not had one (yet), but I suspect there is a wide range of experiences in cystoscopic procedures due to the differences in scopes (the old rigid scopes have to be considerably more awful than the new flexible ones), the skill and care of the physician--one in a hurry can make an unpleasant scope a horrible experience--and, the size of the patient's urethra.

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I have had this twice, both times with flexible scopes but several years apart and different urologists. The second time I experienced much more irritation of the urethra, so there was an unpleasant burning sensation while urinating afterward, but it only lasted an hour or two. Neither examination was very painful, since anesthetic gel was injected first both times, although I had some pain momentarily when the scope was advanced past the prostate gland. In some ways it is even enjoyable so long as no major problems are found.

I would love to be the first male subject to recieve a cystoscope procedure on video.In fact I own a vintage cystoscope from back from wwII.There are 3 different probes in the box, it is stored in.Would be willing to possibly have all 3 used on me in an intense urology medfet appointment.

Though uncomfortable, it was the the sort of discomfort that edged along that pleasure pain intensity continuum. Then when the cool saline was introduced through the advancing scope and that barrage of fluid struck my prostate, OMG, I wasn't sure if I was in pain or about to climax! I must have made a sound or a terrible grimace, because my Doctor told to just relax and that she was almost done...... A second later I new I was one more burst of saline away from climax..... She sent that saline in and I felt that first pulse of an orgasm and in that same moment the scope came out..... All done, clean him up.

I had tissue samples of the prostate taken a few years ago by having some kind of object put up my rectun and I guess it had solenoid operated needles in it that the urologist activated selectively. No prob with the prostate samples that were taken so that was a relief but I had blood comming out of my penis for a few days after that.

There is no question that a trans-rectal biopsy of the prostate can be very painful. My urologist uses lots of lidocaine or similar injectable and still the last several needles of the 14 needle biopsy were quite uncomfortable.

The procedure uses a biopsy gun mounted on the trans-rectal ultrasound probe. The doctor should take six samples from each of the two lateral lobes of the prostate and then two transverse needles. This regimen increases the chance of detecting cancer by about 50% over the now traditional 12 needle biopsy. The old six needle procedure will miss more cancers than it will detect.

Other than that one part of this procedure, all the tests and the laser surgery to reduce my prostate were painless, including the cystoscopy. The modern flexible scope is a piece of cake. The ones my urologist uses are only 18 Fr. Unfortunately, some urologists still insist on using a rigid scope. These are usually 30 Fr. and insertion may require nicking the meatus.

Speed

Wow Speed, if we use a rigid scope, it is usually between 20 and 24FR. The 24FR is typically the resectoscope used for the TURP operation. Using a 30FR scope sounds like your doc might have a secret pain fetish of his own!

The 24 Fr rigid scopes are fairly recent and my Urologist uses the latest and greatest. Their flexible scopes are 18 Fr. The rigid scope he used when doing my laser procedure was a 26 Fr as that is the smallest that will take all the various cables, tubes and all needed for these procedures.

Speed

Hmmmm. I had a cystoscopy last year and I found it no worse than been catheterized by my playdoc. It didn't hurt at all and I only had discomfort whilst urinating for a day afterwards.

I have had a real cystoscopy done in the outpatient OR and was so aroused by them putting my legs in the lithotomy position in really comfortable stirrups, being draped and cleaned, and then scoped was, well just overwhelming. Will be so glad when I find somebody I trust to do thiss to me in some play time...

I mentioned in another thread that I had a cystoscopy with the numbing gel that really hurt when the scope passed through the prostate gland or the opening to the bladder. He never told me exactly where he was getting at the time and acted like it should'nt be hurting me. I thought his bedside manner sucked and probably won't go back to that particular Urologist.

The answer in my mind is Cystoscope. Catheter's were not an issue.

First one was no big deal except the few days afterward when I had to urinate.

Second time. WOW. Pain = Cystoscope. I hurt the entire time and I almost paased out. Different Doc who I will never let touch me agin.

Speed, I'm not sure where you practice, but in PA and NY, we've been using 20-22FR rigid scopes since the late 1970's. There is absolutely nothing new about a 24FR rigid scope unless it glows in the dark and vibrates! 😃

I had a cystoscopy performed on me many years ago. While I don't recall the procedure itself being painful urinating the first couple of times afterward were an experience I'd like to forget!

I had one done a few years ago before I had my TRUP done. It was not tha bad and was done in the doctor office. It hurt more when they took the cath out after the turp as I saw stars then. The nurse told me to take a deep breath and she started to pull it out and I gasp and saw stars and she didn't stop till it was out.

Just released from wearing a foley cath for 14 days post op. Cath was not painful coming out, but still hard to void - think urethra swollen. Have had many cystoscopics, not a problem. Prefer flexible to rigid scopes.