Are you out to sleep for a cystoscopy?

A rigid cystoscopy is where a cystoscope that does not bend is used. You're either put to sleep for the procedure or the lower half of your body is numbed while it's carried out.

nhs.uk - What happens - Cystoscopy - NHS

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Anyone can have either type of cystoscopy. Ask your doctor or nurse which type you're going to have if you're not sure. Both involve passing a thin viewing tube called a cystoscope along the urethra (the tube that carries pee out of the body) and into the bladder, but they're done in slightly different ways. There are 2 types of cystoscopy: a flexible cystoscopy and a rigid cystoscopy.

Flexible cystoscopy

A flexible cystoscopy is where a thin (about the width of a pencil) and bendy cystoscope is used. You stay awake while it's carried out.

Preparation

You'll be sent instructions to follow before your appointment. This will include advice about eating, drinking, and what to do about any medicines you're taking.

You can usually eat and drink as normal before a flexible cystoscopy.

Before the procedure starts, you'll be asked to undress from the waist down and put on a hospital gown. You may be asked to pee into a container so it can be checked for an infection. The procedure may be delayed if a urine infection is found.

The procedure

For a flexible cystoscopy:

you lie down flat on a special couch

your genitals are cleaned with an antiseptic and a sheet is placed over the surrounding area local anaesthetic gel is applied to your urethra to numb it and help the cystoscope move along it more easily the cystoscope is inserted into your urethra and gently moved down towards your bladder water may be pumped into your bladder so your doctor or nurse can see inside it more clearly – you may be able to see images sent to a monitor by a camera in the cystoscope The cystoscope is usually removed after a few minutes. A nurse will stay with you throughout to explain what's happening.

Does it hurt?

People often worry that a cystoscopy will be painful, but it does not usually hurt. Tell your doctor or nurse if you feel any pain during it. It can be a bit uncomfortable and you may feel like you need to pee during the procedure, but this will only last a few minutes.

Afterwards

After the cystoscope is removed, you may need to go straight to the toilet to empty your bladder before changing back into your clothes. Your doctor or nurse may be able discuss the results of the cystoscopy shortly afterwards. But if a small tissue sample was removed for testing (biopsy), you may not get the results for 2 or 3 weeks.

You can usually go home shortly after a flexible cystoscopy.

Read about recovering from a cystoscopy for more information.

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How is a man's prostate examined?

webmd.com - Digital Rectal Exam (DRE) for Prostate Cancer - WebMD

Doctors use the digital rectal exam (DRE) as a relatively simple test to check the prostate. Because the prostate is an internal organ, your doctor cannot look at it directly. But because the prostate lies in front of the rectum, they can feel it by inserting a gloved, lubricated finger into the rectum. It may be performed in the screening of prostate cancer. Who Should Get a Digital Rectal Exam? Not all medical institutions agree on when men should begin screening (routine testing) for prostate cancer or even if a DRE should be part of the screening. To help detect prostate cancer in its early stages, the American Cancer Society recommends that men talk to their doctors about the benefits, risks, and limitations of prostate cancer screening before deciding whether to be tested. For most men at average risk, discussions about screening begin at age 50. However, some doctors recommend that men at higher risk of prostate cancer -- African-American men or men with a family history of prostate cancer -- start screening earlier. What Happens During a Digital Rectal Exam? Your health care provider will insert a gloved finger into the rectum and feel the prostate for hard, lumpy, or abnormal areas. The test takes only a few minutes to complete. You may feel slight, momentary discomfort during the test. The procedure does not cause significant pain or any damage to the prostate.

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