Re: Does a Uro. do kidney biopsy exams

Jason...when you see the uro, make sure to discuss the possibility of
him doing a cystoscopy on you (where he can also get a good look at
your bladder, as well as the prostate), and maybe rule out some of
the causes of blood in your urine. Just a suggestion. He probably
will run his rinky dink tests first (like the stupid dipstick urine
test which means nothing). Let us know what the uro says when you go
to him. When is your appointment?

Pete

Pete,
One of the posters (I don't remember which one) told me that if the
uro. plans to do a urine test that I should not exercise for at least
a week prior to the urine test since exercises can cause trace
amounts of blood
to appear in the urine--do you think that is good advice? My
appointment
is three days from now.
I am compiling a list of questions and comments--can you (or anyone
else that reads this post) think of any questions or comments that I
should add to the list?
I will keep you updated.
Jason

Jason...don't know about the exercise question.

Ask him if he will look at your urine under the microscope (he should
anyway, or his tech should have - but they may just do the dipstick in the
office, which I consider next to useless, especially if you just peed
recently, and aren't getting a fresh specimen first thing in the morning, da
da da da). You can also ask if you could get a urine culture. I would
think he would do a digital exam to check your prostate, and you may want to
ask him if he can do an expressed secretion by massaging the prostate and
looking at the secretion under the microscope also (for bacteria and/or
white blood cells). The problem is if you ask too much, he will probably
label you as a "know it all" ,and you risk losing him.

It doesn't sound like you have bacterial prostatitis (and the non bacterial
kind is much more prevalent), but I would hope he would at least do a
digital exam on your prostate - if not I believe you will have wasted your
money on the visit. That is very basic and will give him an idea of how big
your prostate is (in grams or cc's - one gram is approximately equal to one
cc based on tissue density), and if there are any texture problems. If he
does the digital exam, ask him approx how big your prostate is, and if it
felt boggy or hard, versus normal. He may also do an abdominal ultrasound.

I'm sure you will explain your main concerns about the edema, and blood in
your urine, but I would definitely ask about a possible cystoscopy at a
later date if his basic check systems don't show anything up. If a
cystoscopy doesn't show anything, then I would think a referral to the
nephrologist would be in order.

Make sure to post back with your visit results :-) ...Pete


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