This in-office biopsy, lazar out and cauterization is another good subject for the topic Let’s Talk Turkey and can be very informative for newby's. I have finally found a urology practice than can and does do office procedures. Take this from my seven year experience with recurrent bladder cancer and also some spots that just fell apart or were too little to send to pathology. I encourage all to find a urology practice that can do in-office procedures. There are times during a cystoscopy when something is seen that can be identified as a low grade small recurrence that is easy to zap or sample right in the doctors office. Through my years involved in the email Acor discussion group part of bladder cancer web café, I intially heard from some others who have had that done in the office and feel the same as I do. They would rather have a bit of a pinch of pain from the wide awake in office procedure. Consider this: Those urology practices that are not equipped to do that type office procedure have you reschedule for a hospital or surgical unit date to put you asleep. Not only must you reschedule but you must first go through all the time consuming pre-op tests such as blood tests, EKG, chest x-ray BECAUSE you are going under anesthesia which greatly increases the risks to us of unrelated increased complications. Remember your pre-op paperwork stating all those unsavory and threatening things that could happen to you because of the anesthetic. - including death. I don’t concur with the reasoning that lying still is the best reason to be put asleep. Rosemary just said a leg and movement can occur even under anethestic. We are not put asleep when we have dental work done like deep cleaning or gum scraping or root canals. Remember the dentist saying now your going to feel a little pinch? I know there are those with a low tolerance for pain who would rather go through reschedule, pre-op tests, chance the complications that could come from being put under but given a choice, I would rather take the little pain of the in-office procedure. My seven year history and four TURB’s have shown me that office ability would have saved me lots of time and worry.