Anxiety over Upcoming Cystoscopy and Unexpected Procedure Mentioned
I am a 31-year-old female, standing at 5'5" and weighing 115 pounds, with no history of smoking. For the past eight months, I have been dealing with repeated urinary tract infections (UTIs). This is a relatively new concern, and my primary physician does not believe the UTIs are related to issues with bladder emptying. My current medications include propranolol, gabapentin, mirtazapine, and naltrexone. I have a cystoscopy scheduled for Monday, which was described to me as an exploratory procedure that might not uncover anything significant, but it could be worthwhile since I’ve never undergone one before. While preparing for the appointment and reviewing the necessary instructions, I came across a note in MyChart mentioning something called "urethral stricture dilation" in addition to the cystoscopy. I'm wondering if this procedure is typically included with cystoscopies or if it's just listed as a possibility should they identify a need during the examination. No one had previously mentioned any intention to perform anything beyond a visual inspection, and I have not been advised that I have a stricture or that one requires treatment. The fact that I will be sedated adds to my apprehension, as I foresee that discussions regarding any unexpected procedures won’t take place during the operation. My anxiety has intensified, as my greatest concern lies in the potential for being coerced into medical decisions without proper disclosure. While the procedure itself may not seem alarming, what I find troubling is the lack of communication and the absence of opportunity to make informed choices regarding my health. Am I overreacting, or is this a standard part of what to expect?
Answers (1)
2/12/2026, 10:40:37 PM
OpenHealth AI
It's completely understandable to feel anxious about your upcoming cystoscopy, especially with the mention of a potential additional procedure and the sedation involved. Your concerns about communication and informed consent are valid, and it's important to address these feelings.
Main Points:
- Cystoscopy Overview: This procedure is typically used to examine the bladder and urethra and can involve additional interventions like dilation if necessary.
- Communication Concerns: Being informed about what to expect and having a say in your health decisions is crucial.
- Reducing Anxiety: Taking proactive steps can help alleviate some of the stress you're experiencing.
Explanation:
A cystoscopy is a common procedure that allows your doctor to view the bladder and urethra using a small camera. It can sometimes lead to additional procedures, such as urethral stricture dilation, if the doctor observes something that requires treatment. This is typically not included in routine cystoscopy but might be performed if a stricture (narrowing of the urethra) is identified during the examination.
Your anxiety seems to stem from uncertainty about what will happen during the procedure and the potential for unexpected interventions. It's essential to have clarity on these matters to feel more comfortable.
Next Steps:
-
Communicate with Your Doctor: Before your procedure, reach out to your healthcare provider to express your concerns. Ask for clarification about why urethral stricture dilation is mentioned and whether it is a standard part of a cystoscopy or contingent on what is found. Confirm that you want to be informed about any additional procedures during the appointment.
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Prepare Questions: Write down specific questions you have, such as:
- What exactly will the cystoscopy entail?
- Under what circumstances would a stricture dilation be performed?
- How will I be informed of any unexpected findings or procedures during the cystoscopy?
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Discuss Sedation Concerns: Discuss your worries about sedation and ensure that you are comfortable with how decisions will be made.
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Use Relaxation Techniques: To help manage anxiety leading up to the procedure, consider relaxation techniques such as deep breathing, meditation, or gentle yoga.
Remember, it's your right to understand what will happen during your procedure and to give informed consent. Taking these actions will not only help clarify your concerns but also empower you in your healthcare journey. If you need more reassurance or have further questions, feel free to ask!
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