Talk:Cystoscopy

Hey Ed! Read this!

This article is edited down from the public domain NIH Publication No. 01-4800, at http://www.niddk.nih.gov/health/kidney/pubs/cystoscopy/cystoscopy.htm

especially the bit that says:

This e-text is not copyrighted. The clearinghouse encourages users of this e-pub to duplicate and distribute as many copies as desired.

Oops! Sometimes my protective instincts verge on paronoia, eh?

Sorry for being such a prick :-) --Ed Poor

Post-cystoscopy pain

I have performed about 6000 flexible cystoscopies. While some patients have post-procedural dysuria, most are fine. Thus I have made the changes to reflect this. Jfbcubed 09:45, 20 May 2006 (UTC)

I've edited it again, removing someone's comment about men getting post-procedural bladder spasms. It happens sometimes, but not commonly, and not solely in men. The one-line comment was unhelpful and inaccurate. Jfbcubed 20:38, 27 December 2006 (UTC)

I thought this piece sounded like it was written by a urologist. Of course you guys don't want it known that a cystoscopy without general anesthesia is the closest thing to legalized gang rape there is. A valium will definitely not be sufficient. If you just look at the photograph of the scope at the beginning of the article, you can see that it will not fit without forcing into most normal urethras. You know, the whole point of Wikipedia is for this kind of information to be included, whether it offends the profession or not. —Preceding unsigned comment added by Godofredo29 (talk • contribs) 14:54, 21 November 2007 (UTC)

I would disagree with the above comment, anyone who is having to force a fexible cystoscope through is not competent to be wielding the instrument. If it doesn't fit the options are gentle dilation with urethral sounds or a GA procedure with an optical urethrotomy or similar if needed. Euanagreen (talk) 18:16, 14 January 2008 (UTC)

In my 31 years practicing as a urologist, I have NEVER forced a cystoscope into any urethra, nor have I sounded the urethra prior to obtaining an initial, bi-directional view of the entire urethra, ejaculatory duct, and urinary sphincter. Most fiber optic scopes measure between 4 mm and 7 mm in diameter, ensuring more than enough clearance for a proper, comfortable insertion (to the point of finding physical obstruction - calculus, stricture, prostatic hypertrophy, etc..). Although commonly performed as an office based procedure, if the symptomology is severe, I will usually elect to use a hospital or surgery center OR, where very often IV Diazepam or another IV benzodiazepine is employed to (both) make the patient comfortable, and relax the urinary musculature, facilitating a smooth insertion. Furthermore, a viscous topical anesthetic (I use Anestacon) is almost always instilled into the urethra prior to scope insertion for reasons of patient comfort and ease of insertion. Should a Visual Internal Urethrotomy be chosen to alleviate a discovered stricture, IV sedation and an (infiltrative) injection of lidocaine or other local anesthesia into the stricture will usually suffice for cutting the pie-wedge oriented dissections into the stricture with the urethrotome. Should the diagnosis become more involved, then (and only then) would I elect for general anesthesia. PA MD0351XXE (talk) 19:53, 11 April 2011 (UTC)

Post Procedure Info

Re-wrote and separated the post procedural care instructions from the section describing the procedure, also clarified the prescribing of antibiotic and anti-infective agents and urinary analgesics. PA MD0351XXE (talk) 01:08, 19 April 2011 (UTC)

Opening is clumsy

Someone should try to edit the lead so that it flows better. I'll do it if I get the chance. I'm a medical writer, I would prefer that an MD do it..Scott Adler 18:58, 11 September 2007 (UTC)