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Cystoscopy
My question is how to reduce anxiety pre-cystoscopy and pain in real time during the cystoscopy. For my first and only (so far) I had nothing but analgesic gel for “numbing” the penis/urethra. I was told it would be uncomfortable. I am not normally pain-phobic. I thought I was ready but for me the cysto was shocking, I’d say traumatic, and now I want my MD to give me something at next cystoscopy, but what? I would appreciate your knowledge and experience of sedated cysto, or use of Versed or Valium, or ______? Does everyone actually do this wide awake? Thanks for any leads on reducing anxiety and pain.
Michael H.6 Replies-
Had my scope today “NO RETURN TUMORS” 6 months now…. 1st 6 months clear in 3 years. I did the “cough” doctor agreed it relaxes the sphincters dropping prostate a bit for second and is good method. He warned me as he was hitting the “bump” I gently coughed couple times…. slipped right on past with minimal discomfort. Good luck.
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Thanks very much. I will try breathing and visualizing, but will also consider Atlanta’s advice as the real challenge is anxiety before procedure.
I appreciate your help,
Michael
Michael H.
Many thanks, the cough is worth a try! I appreciate the advice.
Michael
Michael H.
Early on a nurse trained me to gently “cough” when inserting scope or cath to ease it past the “prostate bump” and if timing is right it works well. Sorta reminds me old Army physical back in 60’s….. turn ur head and cough????
Michael,
I have done probably 15-18 of these “lovely” scopes over the years. Pain free? I describe more like “uncomfy”. I kinda self hypnotize myself to say it is only 15-20 seconds to get through the prostate as that is where most of the irritation is. plus, I fill my mind with other things until that day before. As Atlanta said another pain pill may be good or maybe simply ibuprofen or tylenol. I prefer to do just the gel and get it over. Either way, you are not alone wishing these were over.
DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.
Michael, I take a 10 MG Diazepan before each procedure. It helps me a great deal.
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