Cystoscopy under GA vs In office procedure ??

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Is the cystoscopy procedure that is done under general anesthesia more thorough than the in office method? I had it done in office and it seemed like the urologist just took a quick cursory look and was done in less than 30 seconds.

This was done about 9 months after he performed a bladder neck incision and 2nd turp. due to urine retention problems that are now gradually getting worse. It is now 18 months post surgery and I would like him to take another look to check for scarring, strictures or other bladder issues.

He seems to prefer doing it in office.

I have had several cystoscopy done some ago with a different urology group that were done under GA.

Thanks for any feedback.

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    No, George. The procedure is essentially the same. However, the patient is different and how he or she reacts might affect the procedure, particularly in how much they might tense up causing sphincters to close up tightly or patient stress leading to gasping, etc.

    For example, in my own case I'm a sucker for not feeling pain or discomfort so I like to see what is going on. I therefor request no lidocaine or other analgesic, please, but oodles of lubricant, yes. Most urologists will try and keep off GAs just on the grounds of higher risks.

    I hope this answers your questions. My best wishes for your cystoscopy being a tolerable event, Alan86734.

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