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Is cystoscopy a standard procedure prior to TURP?

Posted by jumpstart @jumpstart, Mar 31 6:39pm

I was scheduled to have a cystoscopy but I showed the Dr a kidney stone I passed the day before and the Dr said I didn’t need cystoscopy because the stone was causing the flow restriction, and he scheduled TURP coming up in April. And based on my CTUrology imaging studies my prostate is not enlarged, so I am wondering if it’s really my prostate or is it scar tissue in my urethra from giving birth to a kidney stone 20 years ago, which is when my flow issues became obvious and more recently over the last 5 years I have dealt with prostititis which was finally resolved by taking a 20 day course of nitrofurinol.(sp) My question is:
Should the Dr have performed the cystoscopy before scheduling TURP? Is that standard operating procedure? Should I ask him to perform a cystoscopy to make sure it’s actually my prostate and how would I word it seeing as I’m not a medical professional and I don’t want to offend my Dr.

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Profile picture for pc75
pc75 | @pc75 | 5 days ago
In reply to @fireman123 "@grandmira Well, I have actually only had one done. My fear comes from a previous TURP..." + (show)
Profile picture for fireman123 @fireman123

@grandmira Well, I have actually only had one done. My fear comes from a previous TURP I had years ago. I was sent home and told I could just remove the catheter the next day at home. My wife helped me, and just before it got completely out, it hung. All fluid expelled from the bulb, but it would not come out. I put a washrag in my mouth and told her to just pull for all she was worth. The most intense pain I have ever felt in my life, and I have had a lot. Bled a bit and had to go back to an ER the next day because I could not pee(that is a whole nother story). I now get the ebeegeebees just thinking of anything going in me that route! I may just be getting soft painwise in my old age, but it just ain't for me. BTW. My TURP worked pretty well 10 years ago, the PAE I had 1 year ago did nothing, and lastly this aquablation has worked the best.

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@fireman123 I am surprised that the doctor told you to pull the catheter yourself. I have had 3 procedures that required a catheter and the doctor and nurses took it out. I would be questioning your doctor as to why you would have to remove the catheter yourself or I would be looking for another urologist.

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pc75 | @pc75 | 5 days ago
In reply to @grandmira "Reading these articles on some men’s experience with cystoscopy begs the question as to what if..." + (show)
Profile picture for grandmira @grandmira

Reading these articles on some men’s experience with cystoscopy begs the question as to what if anything is being told to patients prior to the procedure. I personally had had three, the first when I was 18, that one was unforgettable in of itself. The other two within the last ten years. I don’t believe men should forego this diagnostic procedure as there is a wealth of info a urologist gleans from it. I don’t say it’s not without some discomfort which should be mild unless there is an underlying issue not readily apparent until the scope is in.

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@grandmira I agree with you as I have had 3 cystoscopies and the urologist can look at the condition of the bladder and urinary tract to determine what procedure is best for the condition. I had a stricture during the first one but still had the same symptoms and they made the decision to do a dilation but also found my enlarged prostrate needed attention but had to reschedule for a TURP. After several months I had symptoms reoccurring and the urologist did another cystoscopy and found that chips from previous had formed 5 nodules in the tract and he had to clean or flush from previous. The cystoscopy you feel a little pressure, but the doctor really can zero in on what needs to be done so it is important to have it done prior to surgery.

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fireman123 | @fireman123 | 5 days ago

That was years ago and a few urologists back. But yeah, I did question his decision. I have had a few friends who also were told to remove their own, but, looking back, it doesn't seem right. This last surgery, after stating the issues I had in the past, they shot a few big syringes of lube(I am assuming) up one of the line in the garden hose in me and it came out without a hitch!

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