Should I get a second opinion?

[Schuby99]

Was having a little blood in urine and lower ab pain - ER performed a ct scan that indicated "multiple small bladder calculi on right side of the base of bladder". I was discharged and referred to a urologist. In the meeting - the Urololgist did not want to see the ct scan (surprised me), but instead said he needed to perform an xray and cystoscopy in order for him to diagnose. After performing both he informed me I had six stones (around 1 cm each) that would need to come out with another more invasive cystoscopy (this one will be under anesthesia). He also said my prostate was enlarged at 30 grams / 79 ML and recommended urolift be done at same time. My questions - 1) Does it make sense that he dismissed even looking at the ct scan so quickly? I had been under the impression that would have shown  specific info on the stones. I am a little apprehensive as I never actually saw any images showing the actual stones, the cystoscopy he did in office was excruciating - and I am worried about having another  2) From what I have seen online - my prostate is just a little larger than normal - would that warrant a procedure such as urolift now or is there a less invasive alternative?

Appreciate any input - first time dealing with anything like this.

[GuitarRox]

I'm not sure why he won't even look at the scan if not just to appease you. Ask him to again. However, the ER just wanted to give you direction. They got you to the urologist. They are NOT urologists and this person is.  I'm all for the least invasive method of doing anything so I get your concern. But this is this doctor's specialty. You 'could' get a second opinion. An ER is not going to be anywhere near level of expertise as a urologist as they spend all day seeing patients with similar issues to you. Bladder stones can lead to an enlarged prostate so that makes sense. Here are treatment options for kidney stones and remember, you have six of them based on the urologists testing. https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones/treatment To be honest, the urologists plan to remove the stones sounds reasonable.