I now have a date set for the Optilume BPH. Because it's a new procedure to the Dr. It will be performed in a hospital operating room. My pre surgery exam went well except for one thing that I wish the doctors and assistants would hear. That is 10ml is not enough lidocaine to instill and expect it to numb thru the urethra and the prostate. The volume of gel for my own urethra andbprostate is more like 20ml and still. Have to milk it down thru the prostate. I know this because I place foley catheters in myself up size 30fr with 24 being typical. So what happened because the 10ml the assistant instilled was not sufficient to numb. I told her that and asked her to put more and she dismissed my request outright with the following statement " we don't do it that way here" then tried to assure me it would be fine. Well it wasn't fine. The construction of flexible cystoscope has ridges spiraling it's length and do not feel good as the Dr shoves it in thinking it's numbed. I was livid and about jumped off the table. As I settled back down the lidocaine that the scope pushed thru did eventually numb. By then the procedure was neatly complete. I'm not here to gripe but I can't help but think that we need to be heard. I won't let that happen to me again. As far as anyone looking into help with your BPH I'd advise to make it known you want the full length of your urethra and prostate numbed. Then it's nothing at all to be anxious about. Dr's should knould know all men aren't created the same and I'd ask them to rethink the volume of lidocaine used and adjust the volume to help your patient really be comfortable. I'm sure this going on nationwide. It's time to rethink and make cystoscopy a simple and painless procedure as it's purported to be.
Be gentle to us, gentlemen. You'll see more us of willing to come in with lower anxiety and higher trust in you the Dr.
More later

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