Alternatives to cystoscopy, abnormal urine tests

Hi there, can anyone give advise please on cystoscopy. 

I've been given a fast track appointment. I have had a cystoscopy 3 years ago as, I have an abnormal urethra it was excruciating painful, during and worse after. 

I reacted badly. I do not want another one with local anaesthetic.

Are there any alternatives?