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Urology/Cystoscopy

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Question
What kinds of things can be determined via a cystoscopy? Does it point out scaring and tissue damage along the way, and does it only go to the bladder? If the issue was prostate related would the scope check things out in that direction as well?

Are there many penis issues that have there be pain in the head of the penis, but not much else in the shaft, and sometimes some internal pains in the body?

Answer
James:

A cystoscopy is able to directly look at the internal urinary passage from the tip of the penis, throiiugh the urethra, the passageway in the prostate, and the entire interior of the bladder.  It can certainly find some prostate problems such as enlargement, scarring, infection and bleeding but cannot differentiate benign from malignant (cancer).. However, it can spot almost all bladder tumors.

It may or may not be helpful in an isolated case of pain in the head of the penis which is usually related to prostatitis or nerve related pain rather than any issue from the urinary passage.  I doubt it would help with any "internal pains in the body" as you put it.

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Stephen 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 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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