need answer .july 13th is friday

[Bcrigger45]

need help I AM FEMALE AND I ALSO HAD A CYSTOSCOPY ..you never talk about this problem in females. I have had pain from day one...to make a long story short. My new uro dr wants to do a cystoscopy/urethral dilation I am terrified.  First the cystosocopy being inserted and removed ed 5 times is what caused this problem. But all my research has shown that the urethral dilation, has caused every women more problems. And that they have to have it done over and over is this true????

[Bcrigger45]

thank you for your reply. I had a pelvic floor surgery two years ago. I'm still having the same issues only worse with the rectocele,  , my bladder was prolapsed, and to this day because it was not secured it falls to one side, and when I get up in the morning i can void about 14 oz  but about 8 minutes later I have to void again and as much as 3 cups. my urethra hurts all the time I can't wipe I have to pat dry, it hurts to have relations with my husband. there is no infection. It is from the scaring damage from the  cystoscope better known as Noninfectious Urethritis. Pelvic floor therapy is not an option. I do not have OAB. I've done all the Kegel exercises I plan to do they do not help with the bladder....now what??????

[J. Kyle Mathews, MD, DVM]

You are correct in your research showing urethral dilations falling out of favor over the years.  This procedure used to be quite common.  It is still done today in certain circumstances.  Many patient thought to have stenosis of the urethra actually have pelvic floor spasm and need to be treated with Pelvic Floor Physical Therapy and sometimes muscle relaxants.  If you are concerned about your treatment plan, I would suggest you get a second opinion from a urgogynecologist or another urologist.  Thanks you for your question.