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Urology/Cystoscopy

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Question
Hello,

Next Friday I am scheduled for a Cystoscopy.  I am 57 years old.  The reason the Urologist wants to have the procedure done is that my urine flow is somewhat weak (I had a uroflowmetry done) and I have a small problem getting started.  Other than that, there is no blood in my urine and I have no back pain.  I was on Avodart for several years and now I am on Flomax.  I've been on Flomax for about a month now.  

I am really concerned the Dr will find bladder cancer.  The Dr said the more likely finding will be a blockage and/or an enlarged prostate.  I need some perspective on this so I can stop stressing what the test will show.

Thank you,
John

Answer
John

It is reasonable and appropriate to do a cystoscopy when urinary flow is diminished and medications no longer help enough. The likelihood of a bladder cancer without blood in the urine is very low.  Even if it were found, it is usually removed quite easily. Of more concern would be having such a cancer and not knowing about it. Then it can become dangerous.

Think of it like checking the oil in your car. You do not expect a problem but you check anyway.  

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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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