Re: about having cystoscopy

In article <44843985$0$74507$bb4e3ad8@xxxxxxxxxxxx>,
"Howard McCollister" <nospam@xxxxxxxxxx> wrote:

"REP" <rep@xxxxxxxxxx> wrote in message
news:lfWgg.39179$4L1.13981@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx

ANECDOTE AHEAD - proceed with caution: I recently had a cystoscopy. I
was told that local anesthesia was not used in female patients as the
female urethra is too short for the topical anesthesia to do any good.
According to the papers I found on the topic on PubMed, this does seem
to be the the current prevailing opinion, though personally, I'd wish
they'd at least try it. The procedure itself takes less than 15 minutes;
when I called to tell them I have the paradoxical reaction to Versed
(and was scared crapless about having it done), I was told it was not
used due to the brevity of the procedure. Again, this is anecdotal;
different urologists may do things differently.


Just this very moment, one of my partners walked by. She is a
Urogynecologist and does many, many flexible cystoscopies on any given day.
She tells me that she and her partners ALL use a topical anesthetic for
cystoscopy on females (xylocaine jelly). It is gently applied to the urethra
externally, and applied to the cystoscope.

That could be the difference - my urologist's suites are decorated
exclusively with diagrams of the male urinary tract and other
male-anatomy-based posters to point that the first time I was seen
there, I wasn't sure I had gone to the right place. There may be other
women patients there - I've just never seen them.

I did mention my information was anecdotal; nonetheless, not even trying
to numb the area seemed a little brutal so I did look it up on PubMed to
see how far this deviated from the norm. I did request xylocaine jelly
be used during my procedure, but that request was refused.

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather
.

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