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The Cob Foundation > Forums > Interstitial Cystitis > Advice please - Flexible cystoscopy/Rigid cystoscopy
 
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sueblax
Registered: 18/12/08
Posts: 28

    04/11/09 at 01:15 PM
  Reply with quote#1

I'm just getting some idea of costs to have some procedures carried out privately and am surprised to have the same amount quoted for a flexible and a rigid cystoscopy.  I would have expected 'rigid' to cost a lot more - general anaesthetic and all that. 

Can anybody tell me the difference between these two procedures in terms of what can be diagnosed.  If 'flexible' is just going to tell me I've got a sore bladder, I know that already and am not sure what else it can tell me!  Would it eliminate the possibility of cancer (which I don't think I've got, but there is always that underlying fear).  I know you need 'rigid' to detect pinprick bleeding, ulcers etc and do a biopsy.

Advice welcomed, please.
JaneW
Registered: 02/12/03
Posts: 1,258

    04/11/09 at 03:14 PM
  Reply with quote#2

Hi,Its usual to have a local anaesthetic with a flexible cystoscope.It is a very quick procedure (5-10 minutes).The urologist should be able to tell if the bladder looks normal or if there are any ulcers/reddened areas (or in my case scaly areas ) and take biopsies if necessary.
Ususually though most urologists prefer it if you have a cystoscopy with a general anaesthetic using a rigid scope.That way they are able to distend the bladder more and have a good look around and take deeper biopsies if needed.They can also treat any areas that need attention.
I'm about to have my 16th cystoscopy and I don't find them that bad at all.I prefer to have them done under a local anaesthetic as I find recovery much quicker afterwards.Its normal to have some soreness and bleeding after a rigid scope is used.I hope this helps.Love Jane XX





ange
Registered: 12/12/03
Posts: 334

    04/11/09 at 03:46 PM
  Reply with quote#3

I am very surprised that the same price has been quoted - the only thing I can think is that this was the surgeon's fee.  You would then have to add the hospital's and anaesthetist's (for rigid scope) fees.  The hospital cost would vary quite a lot between a flexi and rigid.   

sueworld2003
Registered: 16/08/04
Posts: 944

    04/11/09 at 03:51 PM
  Reply with quote#4

Well my last ever flexible scope was done privately, and it cost me around about £1000 (including consultation time) and that was at done at least 4 years ago, so god only knows what it would cost now.



sueblax
Registered: 18/12/08
Posts: 28

    04/11/09 at 06:37 PM
  Reply with quote#5

Thank you all very much for this information.  I was really surprised that the price quoted was the same for both (around £2000 for everything - ouch!) given that one is with local and the other general anaesthetic.  I'd like to go to this hospital because of the good reputation of its consultants.  Need to consider my options (and the state of my bank balance!) 

I feel reassured, Jane, by your comments, thank you very much.  I'm not a wimp about hospital procedures (have had an endoscopy a few years ago, which wasn't very nice but I just got on with it).   From what I've read, I have been very reluctant to have a cystoscopy (possible risk of bacterial infection to add to my woes and generally unpleasant after effects).  However, I don't think that the prospect of the length of time that I'd have to wait for one on the NHS will do my stress levels any good at all - if I'm going to do it, I'd just like to get it over with asap.
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