AboutStephen W. Leslie, MD Expertise Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.
Experience Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.
Organizations American Urological Association, Ohio State Medical Association, Sexual Medicine Society
Publications Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.
Education/Credentials Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison
Awards and Honors Thirlby Award of the American Urological Association.
Question Since my tumor I had about 5 systoscopies and all of them were clear. The problem is the procedure is extreemely painful. I have asked over and over to give me more anesthetic and they promise they would, but I always feel everything. I fear the next procedure in two years and might not go. I am 67 years old.
Thank you for your answer.
Peter Raymondo
Answer Peter:
You didn't ask a question but I presume you want some advice. First, a flexible cystoscopy shouldn't be that painful. Local lidocaine and some pain pills ahead of time is usually sufficient. If you are having really bad pain, then you might need a general anesthetic. This is extremely rare in your age group, but the cystoscopies absolutely have to be done.
It's not standard procedure to go to a once every 2 years schedule after only 5 cystoscopies. You might want to consider a second opinion.
