Britt: Even for men who don't have prostate enlargement the most unpleasant part of the cystoscopy is when the scope goes through the prostate. With prostate enlargement, that part can be even more difficult. That does not mean you have a stricture Britt. A stricture is narrowing with scar tissue.
If you find the procedure too painful to be done with a flexible scope and adequate time for the numbing gel to work, then you need some kind of anesthesia. A TURB cannot be done through a flexible scope and definitely requires anesthesia. If you are too ill for general anesthesia perhaps you can have it done with spinal anesthesia or an epidural. You would have to discuss that with an anesthesiologist.
Pat: I'm not sure if the technique used for dealing with a ureteral stricture can be applied to a urethral stricture. In any event, my urethral stricture has been dilated multiple times and opened 4 times by urethrotomy. After the last urethrotomy, examination showed it to be scarred back down within a month. Any further dilations or urethrotomies are not advisable. It is entirely possible that the increasing difficulty I'm havng wtih the stricture is due to the multiple dilations I've had to accomplish cystoscopies. The next step is a urethral reconstruction. The urologist believes the stricture is short enough to remove the scar tissue and do an end to end anastamosis. This will be done through a perineal incision. If the stricture is longer than it appears on the retrograde urethrogram, then it will require a graft using buccal mucosa.
-Warren
TaG3 + CIS 12/2000. TURB + Mitomycin C (No BCG)
Urethral stricture, urethroplasty 10/2009
CIS 11/2010 treated with BCG. CIS 5/2012 treated with BCG/interferon
T1G3 1/2013. Radical Cystectomy 3/5/2013, No invasive cancer. CIS in right ureter.
Incontinent. AUS implant 2/2014. AUS explant 5/2014
Pediatrician