Cystoscope

[Wally]

I am having a cystoscopy next week to investigate whether I have stricture or not that causes my prostatitis.
I have searhed the web and I am really worried about the side effects.

"POSSIBLE COMPLICATIONS

Excessive bleeding.
Damage to the urethra.
Perforation of bladder.
Urinary tract infection.
Injury to the penis.

This are the complications that can occur. One complication, the last "injury to the penis" do they mean permanently damage to penis with permanent impotence, or what do they mean" Do anyone here have any experience from cystoscopy. Is the side effects% high? Can I be doing this procedure without worrying? I am now very stressed up because of this, but I also want to exclude stricture as a cause.
Can anyone please help me out what to do?

[webslave]

Please do not worry about a cystoscopy! Read this page:
https://ucpps.men/prostatitis-cystoscopies-and-urethral-strictures

[rob.s]

i had one done last year.didn't hurt at all.it felt unconfortable about half way through but not painfull.it does burn when urinating afterwards(a few days),but thats all the side effects I had.no blood or damage to speak of.i would suggest drinking water only afterwards.caffine and jiuces can burn more(i learned this the hard way).as I said in another post to you.....dont worry!it does make things worse!

[Nikolaus]

I am having a cystoscopy next week to investigate whether I have stricture or not that causes my prostatitis.
I have searhed the web and I am really worried about the side effects.

"POSSIBLE COMPLICATIONS

Excessive bleeding.
Damage to the urethra.
Perforation of bladder.
Urinary tract infection.
Injury to the penis.

This are the complications that can occur. One complication, the last "injury to the penis" do they mean permanently damage to penis with permanent impotence, or what do they mean" Do anyone here have any experience from cystoscopy. Is the side effects% high? Can I be doing this procedure without worrying? I am now very stressed up because of this, but I also want to exclude stricture as a cause.
Can anyone please help me out what to do?

Wally,

I had a cystoscopy last year in a hospital, because my uroflow was a little reduced. I had the same fear you have now.
For me it was not so bad. I got local anesthesia and did not have pain. The only thing that was uncomfortable was the movement of the cystoscope. It had to pass through the sphicter muscles and the prostate.
The doc did not use a flexible device, which would have been better, I was told.
Yes there was a bleeding and injury of the penis but it stopped soon and believe me nothing remained. I also started working the day after.
Against infection I took doxy starting some days before and ending some days after the cystoscopy.
In my case they ruled out strictures and bad things inside the bladder and thought I could have a small raising bph, that also colud have been the reason for the problem the device had to pass throught the urethra. These docs thought that this small bph could be the reason for my reduced uroflow and for all the prostate problems I had before (including prostatitis). The size of the prostate was measured later with TRUS from another doc. The result: about 2% more than normal. Two methods two different results.

[dshoskes]

These docs thought that this small bph could be the reason for my reduced uroflow and for all the prostate problems I had before (including prostatitis). The size of the prostate was measured later with TRUS from another doc. The result: about 2% more than normal. Two methods two different results.[/quote]

Not so. It is possible to have a small total volume of the prostate (measured by TRUS) but have what little extra tissue there is obstructing the urethra. Cysto doesn't tell you about total prostate volume and TRUS doesn't tell you about obstruction.

[Nikolaus]

These docs thought that this small bph could be the reason for my reduced uroflow and for all the prostate problems I had before (including prostatitis). The size of the prostate was measured later with TRUS from another doc. The result: about 2% more than normal. Two methods two different results.

Not so. It is possible to have a small total volume of the prostate (measured by TRUS) but have what little extra tissue there is obstructing the urethra. Cysto doesn't tell you about total prostate volume and TRUS doesn't tell you about obstruction.

Thank you, Dr. Shoskes. Do you mean that this 2% of more volume of the prostate (near the urethra), which don't seam do be a stricture, might cause uroflow reduction? The doc who did the TRUS did not believe.

[dshoskes]

These docs thought that this small bph could be the reason for my reduced uroflow and for all the prostate problems I had before (including prostatitis). The size of the prostate was measured later with TRUS from another doc. The result: about 2% more than normal. Two methods two different results.

Not so. It is possible to have a small total volume of the prostate (measured by TRUS) but have what little extra tissue there is obstructing the urethra. Cysto doesn't tell you about total prostate volume and TRUS doesn't tell you about obstruction.

Thank you, Dr. Shoskes. Do you mean that this 2% of more volume of the prostate (near the urethra), which don't seam do be a stricture, might cause uroflow reduction? The doc who did the TRUS did not believe.

It is possible to have a small prostate that nevertheless obstructs the urethra or bladder neck. It is these prostates that TUIP (transurethral incision) is ideal for.

[Nikolaus]

Not so. It is possible to have a small total volume of the prostate (measured by TRUS) but have what little extra tissue there is obstructing the urethra. Cysto doesn't tell you about total prostate volume and TRUS doesn't tell you about obstruction.

Thank you, Dr. Shoskes. Do you mean that this 2% of more volume of the prostate (near the urethra), which don't seam do be a stricture, might cause uroflow reduction? The doc who did the TRUS did not believe.

It is possible to have a small prostate that nevertheless obstructs the urethra or bladder neck. It is these prostates that TUIP (transurethral incision) is ideal for.

Thank you once more.
I remember the uros in the hospital also gave me this advise. But I feared the sideffects with TUIP (I found in the literature.) :

• 1. Retrograde ejaculation (in which semen flows backward into the bladder), in about 10% of cases.
  2. Impotence or erection problems (in men who did not have one of these problems before the surgery), in about 1% of cases.
  3. Total inability to control urine (incontinence), in about 1% of cases.
  4. The need for a blood transfusion during surgery, in about 1% of cases.

What do you think about these sideeffects?

The second uro (TRUS) said, he would not recommend surgery in my case. He gave me Cernilton for nearly one year now, after I failed taking Omnic because of sideeffects. I dont have pain or discomfort. But I was thinking about less invasive methods such as WIT, if problems come back in the future. I know that you are doing WIT as well.
My question: You don't recommend WIT at all in this case?