Re: Which way to go?
- From: "Dean" <deanp@xxxxxxxxx>
- Date: Fri, 13 Jul 2007 20:14:10 -0400
"Pete" <pete@xxxxxxxxxx> wrote in message
news:f791mh0148b@xxxxxxxxxxxxxxxxxxxxx
PetePete, I went back and forward to the same Edinburgh hospital over
eleven years seeing four different urologists. The first one retired
with a bad back and then two short lived consultants before the
fourth one settled in... that's how the NHS gets by. I had DRE's, PSA
tests and two biopsies but never the suggestion of a cystoscopy, just
you need a TURP. The very thorough consult in Newcastle who
eventually did my PVP did not suggest a cystoscopy either. It is
obviously not the British way:-) Derek.
Thanks Derek...So I guess he did a cysto on you at the same time he did
the PVP. Let me clarify that for you. You were on the table and they put
you under with anesthesia. Then the uro did a cystoscopy with a
cystoscope to take a look around (and maybe put some water in your
bladder), before actually starting the PVP. Then he pulled out the
cystoscope and put in a Resectoscope (not a cystoscope) to perform the
PVP. Is that approximately correct. If you have your procedure notes, it
should describe all that. I would be curious about that. Maybe your uro
just went directly to the resectoscope - dunno - I'm sure it was never
described to you - they won't tell you anything unless you ask for a copy
of the procedure notes - lol .
The surgical notes for my TURP I had in 2005, stated approx what I just
said (about the cystoscope versus the resectoscope), but I also had a
cysto prior to ever making the appointment for the surgery if you follow
me. I guess you guys are different over there, but that is not to say
that some uro's may do the same thing in the U.S. I am speaking from my
personal experiences. I also had a cysto prior to scheduling my TUIP in
1995 (different uro in a different county in Maryland).
I hope that wasn't too confusing :-) ....Pete I'm looking at my Operative
Report for PVP and it says that after the anesthesia was administrated a
23 French continous flow cystoscope was inserted and the urethra was
inspected and noted to be unremarkable. At the bladder neck there was an
obivios obstrution from the prostate. the cystoscope was ten passed into
the bladder.There was grade 3 trabecuiations within the bladder. Ureteral
orifices were noted to be in their normal position on the trigone. There
were no bladder mucosal lesions identified. The procedure was then
initiated. Dean,
.
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