□ □
[□] □
□? □
In the operating room , with patients under spinal or general anesthesia , the resectoscope with a 24F cutting loop is used to excise the verumontanum of the prostate . These procedures have been proven to offer patients the most rapid symptom relief for a long duration . Endoscopic findings : Aside from a thorough history and physical examination , cystoscopy is described as the most important diagnostic tool for assessing a patient who may have IC.Cystoscopy is performed to help exclude other causes of symptoms suggestive of IC and to provide evidence for the diagnosis of IC . This may help guide further workup and therapy.Abnormalities may indicate the need for a formal endocrinology consultation.Diet : A diet high in antioxidants such as vitamin C and vitamin E has been proposed to improve the quality of sperm by decreasing the number of free radicals that may cause membrane damage.Additionally , the use of zinc , fish oil , and selenium has been shown to be of benefit in some studies.Activity : Patients should limit the use of potentially spermatotoxic substances such as cigarettes , marijuana , and anabolic steroids . One or more syringes may be needed to produce complete closure .