Cystoscopy and Ureteroscopy - Experience

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What was your experience during your cystoscopy or ureteroscopy? Did you experience discomfort? Please explain.

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How is a cystoscopy or ureteroscopy performed?

After an appropriate anesthetic is given, the doctor gently inserts the tip of the cystoscope or ureteroscope into the urethra and slowly glides it up into the bladder. A sterile liquid-water or salt water, called saline-flows through the scope to slowly fill the bladder and stretch it so the doctor has a better view of the bladder wall.

As the bladder is filled with liquid, patients feel some discomfort and the urge to urinate. The doctor may then release some of the fluid, or the patient may empty the bladder as soon as the examination is over.

The time from insertion of the scope to removal may be only a few minutes, or it may be longer if the doctor finds a stone and decides to treat it. Taking a biopsy-a small tissue sample for examination with a microscope-will also make the procedure last longer. In most cases, the entire examination, including preparation, takes 15 to 30 minutes.

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Comment from: 45-54 Female (Patient) Published: November 18

I had cystoscopy and ureteroscopy to remove a 4 mm stone from the distal end of my ureter above the bladder. I also had a stent placement. After the procedure, I urinated bloody urine (the color of Kool-Aid) for 3 days and was readmitted to the hospital in severe pain that very little in the way of opiates could touch. Once the stent was removed, I still had significant but gradually decreasing bladder pain for a week. I promise that, next time I feel the pain of a kidney stone, I will lie on my floor and drink water and cry for as many days as it takes the stone to pass rather than submit to another procedure like this.

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Comment from: smog, 55-64 Female (Patient) Published: January 20

I had cystoscopy yesterday at the urologist's office. I had been urinating blood on and off. I also had sonogram of my kidneys. I have a gigantic cyst in my kidney and an acute bladder infection. I was not given any direction before the office procedure, and no pain medications were given. I saw my bladder walls on a monitor in the office, reddish irritated walls. I am still experiencing burning 24 hours later. Advil is all I am taking and soft seating as my bottom is sensitive. No baths, swimming, tub soaking, sex or anything down there for 2 to 3 weeks!

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