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How painful is a cystoscopy for a man?

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.

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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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Should I pluck white hair?

Dr. Kraleti doesn't recommend plucking or pulling the hairs out. “If there is a gray hair you must get rid of, very carefully cut it off. Plucking can traumatize the hair follicle, and repeated trauma to any follicle can cause infection, scar formation or possibly lead to bald patches.”

For those of you who have plucked those pesky gray hairs from your head, you don’t have to fear that they are coming back with a vengeance. The idea that pulling a gray hair will cause 10 more to grow in its place is simply not true. If you’re not convinced, let UAMS family and preventive medicine physician Dr. Shaskank Kraleti, M.D., explain the medical science behind this myth. “Plucking a gray hair will only get you a new gray hair in its place because there is only one hair that is able to grow per follicle. Your surrounding hairs will not turn white until their own follicles’ pigment cells die.” Dr. Kraleti explains that your hair turns gray or white when the pigment cells in the follicle surrounding the hair die. “When you pluck a hair a new one will grow in its place and because the pigment cells are no longer producing pigment, this new hair will also be white.” Does this mean you should continue to pluck those gray hairs? Dr. Kraleti doesn’t recommend plucking or pulling the hairs out. “If there is a gray hair you must get rid of, very carefully cut it off. Plucking can traumatize the hair follicle, and repeated trauma to any follicle can cause infection, scar formation or possibly lead to bald patches.”

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