Male. I had two cystoscopies. Both while I was fully awake. Neither were painful or uncomfortable.
I won’t lie, I thought I would freak out when I saw the equipment and knew where they were planning on putting that equipment. Men are a bit funny about putting things, well, you know where.
But the process is painless and easy. In my case, they simply squeezed some anesthetic gel into the urethra with a small syringe (relax – not with a needle – but a small plastic nozzle.) They gently clamped off the penis and waited as the gel liquifies and settles down the length of the urethra, effectively numbing it completely. Then they insert the cystoscope in the urethra and push it up into the bladder. You can feel a bit of pressure (again – not uncomfortable or painful in the least).
That’s it.
No fuss.
Some muss – as urine will seep out along with some of the anesthetic gel.
When you’re done you just walk out.
While it’s not something I’d pay to have done regularly, it wasn’t anything to shy away from.