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Bladder Problems
October 2001

Q. I had a cystoscopy done in the hospital 10 days ago. I took 500 mg of Cipro for 5 days as prescribed by my doctor. He also prescribed Detrol 4 mg a day for 7 days. I had taken the Detrol before the surgery and it had no effect, but figured the doctor knew something I didin't. He found no problems with the bladder and the biopsy came back fine.

I still have the feeling to urinate often, and still have the pressure when I do go. This problem has gotton worse and I now also have a sharp pain in the urethra all the time. I am scheduled for a lapaoscopy in a few weeks because they now think the endometriosis has moved to my bladder. My question is how long after surgery from the cystoscopy does this pain last and why has it gotten worse? Is there something I should be doing?

I am not 100% sure I trust this urologist to begin with and therefore do not want to go back to his office with this, but your suggestions would be appreciated since I am not sure how much more of this I can take. This has been a problem for 7 months now.

A. You are describing symptoms of bladder spasm and pain, yet the diagnosis has not been established. The cystoscopy and biopsy look at the anatomy of the bladder but not the function. Measurements can be made of bladder capacity and function; these are called urodynamic studies, performed by a urologist. The cystoscopy procedure is quite common and should not cause discomfort for more than a few days afterwards. Seek a second opinion if you do not have confidence in the doctor at this point.




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