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Do you have to have general anesthesia for cysto?

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  • Do you have to have general anesthesia for cysto?

    Do you have to be given general anesthesia for a cystoscopy?I thought one could be done in the doctor's office under local anesthesia but I hear a lot of people talking about having it done at the hospital.I am really scared of general anesthesia.


    Duana

  • #2
    A cystoscopy with hydrostention (the fill your bladder to capacity with water) has to be done under general as it would be to painful otherwise. It just couldn't be done. The in office cystoscopy is done without anesthesia at all. For me, I will NEVER allow another Dr to do an in office cystosope on me. I have severe IC and it is entirely too painful for me. The cysto/hydro doesn't cause me any problems other than the usual grogginess from g.a.
    Hope this helps explain it to you.
    Link to the patient information, everything from What is IC? to Disability
    http://www.ic-network.com/patientlinks.html

    American Urological Association Clinical Guideline
    Diagnosis and Treatment of Intersitial Cysitis/Painful Bladder Syndrom
    http://www.auanet.org/content/guidel...ent_ic-bps.pdf

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    • #3
      I have had several cystoscopies in my uro's office. If I relax it isn't any worse than having a catheter inserted --- uncomfortable, but not horrible.

      A hydrodistention is performed in an operating room and does require anesthesia. I usually have a spinal for this procedure.

      Donna
      Stay safe


      Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
      Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

      Have you checked the ICN Shop?
      Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

      Patient Help: http://www.ic-network.com/patientlinks.html

      Sub-types https://www.ic-network.com/five-pote...markably-well/

      Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

      AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

      I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
      [3MG]

      Anyone who says something is foolproof hasn't met a determined fool

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      • #4
        I've had a regular cystoscopy in office and it was for me like Donna described as having a catheter inserted. Uncomfortable but not painful for me. They didn't use a local or anything. To me the catheter insertion is always the most uncomfortable. The scope and sterile water didn't bother me at all. Took less then 15 minutes from start to finish and dr showed me everything on a tv screen that he was looking at. I've never had a cysto with hydro but am sure if I did it would be under general.
        Cindi


        Gelnique for frequency/urgency - works great
        Macrobid after sex
        Prilosec, continuous birth control pills
        synthroid .088mg, mucinex-d, restasis

        Supplements: Desert Harvest Aloe vera, Cysta-q, prelief, magnesium and calcium, Vit D, flaxseed oil

        Diag Mild IC Jan 11 but have had symptoms for 25 years. Also have GERD, TMJ, IBS-C, chronic dry eye syndrome, hashimotos thyroiditis, non-allergic rhinitis.

        IC Diet Link: http://www.ic-network.com/diet/2009icdietlist.pdf
        AUA 2011 Guidelines to diagnosing and treating IC overview- http://www.ic-network.com/forum/showthread.php?p=571592
        AUA 2011 Guidelines to diagnosing and treating IC PDF: http://www.auanet.org/content/guidel...ent_ic-bps.pdf
        Great treatment flowchart on page 19 of the pdf

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        • #5
          I had to be knocked out completely, but I have severe pelvic pain from PFD and Vulvodynia so the doctor thought it would hurt me to be awake.

          Worked out well in the end b/c it was discovered during the cysto I have an abnormally small urethra and they could barely do it with me knocked out let alone awake.

          I think it really depends on the doctor and the pain tolerance of the patient.
          DX: IC, V, VV, PFD, Generalized Anxiety Disorder, PN (just chronic inflammation of the nerve, not an entrapment), Depression

          Current Treatments: Effexor XR, Gabapentin, Oral Valium, Methadone, Lidocaine, ice/heat packs, sometimes vaginal valium suppositories, Vicodin

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