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I'm a 66-year-old man, and my Urologist is a woman. During my 'new-patient' exam and work-up it was discovered that I had micro hematuria. My doctor ordered a CT scan, bloodwork, and a cystourethroscopy. With the cysto procedure, I had a vague idea of what would happen, but had never had one performed, so I checked into this on-line. The search results seemed to run four to one, painful versus OK, so I was somewhat concerned as the day arrived for my test. It turns out I wasted a lot of energy worrying about this. What follows is detailed. I was in the waiting room, when a young lady called my name, and we went back together into a procedure room. There I met my Urologist, and she gave me instructions on what would be happening, and what I was to do. She coached me on being relaxed, and not to tense, so as to facilitate the insertion of the scope (which was a flexible type). The first young lady took my vital signs, asked me a number of questions, then asked me to get undressed. I complied, then took my place in the comfortable chair, and placed my legs in the stirrups. She prepared me by cleaning the glans, and instilling the Lidocaine gel into my penis. A gentle clamp was placed across the organ to close the urethra, and we waited for a few minutes for the anesthetic to work. The doctor then returned, and the two ladies readied the scope. I relaxed and closed my eyes, and waited. The young lady positioned my organ upright, removed the clamp, then I felt the scope inserted into my urethra. What I felt was like a gentle stretching - no pain - and the scope seemed to glide effortlessly up towards the prostate gland. As the scope was advanced into the bladder, I felt a pleasant thrill, and then afterwards - generally no sensations at all, as the doctor surveyed the interior of the bladder. I opened my eyes and asked the doctor if she was going to add fluid to distend the bladder - apparently, I had filled it sufficiently with urine prior to the test. The doctor then took two syringes of about 100mL each, and removed that amount of liquid. These samples were sent to a lab for analysis. The results were that my bladder appeared to be normal, and the epithelial cells from the bladder wash showed no signs of cancer. The entire process took about 15 minutes. My Urologist and her assistant were at once completely professional, friendly and supportive, and handled my body gently and with respect. I felt safe, relaxed and comfortable with them - the entire process was pleasant, and I have had no negative effects from it since that time (at this writing, it has been about a month). I can't say enough good things about these two ladies - they are wonderful, and I would not hesitate to repeat this procedure if it were to become necessary again. I found by experience - there was no reason to worry about it.
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