I had a flexible cystoscopy - in 2023 - without any form of pain relief - no "gel" and definitely no Entenox - I was in so much pain during the procedure that I almost blacked out !!
The results were clear - but the consultant at the post procedure meeting told me that he would contact me in 3 months to update me - he DIDN'T - I waited almost 18 months until he wrote to me (I received an appointment letter, yesterday for my follow up in 2 weeks time)
This is how the NHS operates nowadays !!