Hematuria: what you really need to know | David Fishbein Yao, MD | UCLA Urology 

Thank you for the kind comments.

You are right - cystoscopy is not painless. To help with this, we use numbing gel and try to be quick about the procedure but still comprehensive. Some patients benefit from using an anti-anxiety pill and/or laughing gas. In my experience, 100% of patients don't like it, but over 99% are able to tolerate it and many tell me the cystoscopy was easier than they imagined.

It was the worst pain in my life. Passing kidney stones wasn't even as bad as cystoscopy. This should only be done in the OR.

Thank you for the kind comments.

Thank you for the kind comments.

Painful bladder syndrome can be caused by a number of different disease entities, some of which can cause hematuria.

I am confused about the intermediate risk category. Are you saying that all women between 50 and 59 irrespective of whether they have hematuria or not should go for cystoscopy and ultrasound? I ask because you said people who have any of the following?

@@sharonlainhart4786 Sorry that I was not clear about this. Intermediate risk only applies to someone who has been found to have microhematuria. Thus, a woman between 50-59 without hematuria does not need a hematuria workup.

Thank you for the question. Please check the video starting at 2:40, which goes over the most common causes of blood in the urine.