Urinary Issues: When to Consider Cystoscopy and New Treatments

Q: Urinary Issues: When to Consider Cystoscopy and New Treatments

LYSS： Hello, I think the most likely condition is urethral stricture. <br>Other possibilities include bladder dysfunction and neurological issues. <br>A cystoscopy can be performed to examine the urethra, prostate, bladder, and the color of urine draining from both ureters. <br>I

Could you please provide more details or specify your question?

Hello Doctor,
I have been experiencing urinary issues for a long time (since I was about 19 years old), and it has become quite bothersome.
I have consulted both traditional Chinese medicine and Western medicine during this time, but there hasn't been much progress.
(Every time I go to the bathroom, it takes a long time to urinate, but the volume is small, and I have to strain.)
1.
Do I need to undergo a cystoscopy? Will it be very painful? How is the procedure performed?
2.
I came across a new type of ultra-precise frequency therapy online.
Would it be suitable for me?
Thank you for your response.

Lyss

lyss, 30~39 year old female. Ask Date: 2005/11/05

Dr. Xu Weikai reply Urology

LYSS: Hello, I think the most likely condition is urethral stricture.
Other possibilities include bladder dysfunction and neurological issues.
A cystoscopy can be performed to examine the urethra, prostate, bladder, and the color of urine draining from both ureters.
It is a simple and effective procedure.
The examination takes about 5 minutes, and usually only local anesthesia is needed.
If necessary, you can request an anesthesiologist to provide appropriate anesthesia.
As for ultra-precise radiofrequency therapy, I'm not sure (it might be a translation issue), so I can't provide advice on that.
If it is indeed urethral stricture, the surgery is quite simple.
Using a cystoscope along with appropriate cutting instruments, the stricture can be incised, and recovery is quick, with a hospital stay of about 3-5 days.
The surgery itself takes approximately 10-20 minutes.
Note: The above information is provided for your reference by the Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan, Director Hsu Wei-Kai.

Reply Date: 2005/11/05

More Info

Hello Lyss,
Thank you for reaching out with your concerns regarding your urinary issues. It sounds like you've been dealing with significant discomfort for quite some time, and I understand how frustrating that can be. Let's address your questions one by one.

1. Do you need a cystoscopy?
Given your long-standing issues with urinary frequency, difficulty urinating, and the need to exert effort during urination, a cystoscopy may be warranted. A cystoscopy is a procedure that allows a doctor to examine the inside of your bladder and urethra using a thin tube with a camera (cystoscope). This can help identify any underlying issues such as bladder inflammation, strictures, or other abnormalities that may be contributing to your symptoms.

As for the pain associated with the procedure, most patients report only mild discomfort rather than severe pain. Local anesthesia is typically used to numb the area, and some patients may also receive sedation to help them relax. The procedure usually takes about 15 to 30 minutes, and while you may feel some pressure or discomfort during the examination, it is generally well-tolerated.

2. Regarding the new precision radiofrequency therapy:
Radiofrequency therapy is a newer treatment option that has been explored for various urinary conditions, including overactive bladder and interstitial cystitis. This therapy uses radiofrequency energy to target specific nerves or tissues, potentially reducing symptoms like urgency and frequency. However, whether this treatment is suitable for you would depend on a thorough evaluation by a urologist who can assess your specific condition and symptoms.

Before considering this treatment, it would be essential to have a proper diagnosis. If your symptoms are due to a specific condition that can be identified through cystoscopy or other diagnostic tests, then the treatment plan can be tailored accordingly.
In summary, I recommend discussing the possibility of a cystoscopy with your urologist. This procedure can provide valuable insights into your urinary issues and help guide further treatment options. If cystoscopy reveals no significant abnormalities, your doctor can then discuss other treatment modalities, including the potential for radiofrequency therapy.

It's important to remember that urinary issues can stem from various causes, including anatomical abnormalities, infections, or even neurological conditions. Therefore, a comprehensive evaluation is crucial in determining the most effective treatment plan for you.

Lastly, don't hesitate to express your concerns and preferences with your healthcare provider. Open communication can help ensure that you receive the best possible care tailored to your needs. I wish you the best in finding relief from your symptoms and improving your quality of life.

Take care!

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