Re: Which way to go?



Ed wrote:
On Fri, 13 Jul 2007 17:51:54 -0400, "Pete" <pete@xxxxxxxxxx> wrote:

- First, I would absolutely ask for a cystoscopy before agreeing to
any type of surgery. I consider that a must. Is the consultant in
the hospital that you referred to a urologist, or just some king of
generalist. He or she doing a digital, and flow test, and a
ultrasound for retention, is not enough to warrant surgery IMO.
Furthermore, I do not believe a urologist would perform surgery on
you without a cystoscopy being performed first.

Pete,

What's the purpose of a cystoscopy? I have never had one. What am I
missing?

Ed

Ed...You are quite knowledgeable and I have been reading your posts in here
for at least two years, and I believe you have a large prostate and live in
Canada. Are you serious in asking what the purpose of a cystoscopy is (it's
basically an endoscopic procedure that uro's use to inspect the prostate and
bladder). We talk about them in here all the time, and of course there's
google. If you have read my posts (I read all posts) I have made references
to getting a first hand look at the prostatic urethra and bladder (via
cystoscopy) to see what is going on. It's similar to an EGD to inspect the
upper GI tract, and a colonoscopy to inspect the lower bowel, and then there
is the bronchoscopy for the pulmonologists. I have had all these
procedures, and have yearly EGD's.

I wasn't trying to be smart - I guess I was just surprised that you asked.
Apparently the docs in Canada and UK are not as big on doing cystoscopies as
they are in the USA. Hell, I asked for my last two (flexible scope) out of
desperation (and they are not without pain if you are conscious). I have
had three cysto's, and my first one was done by an old timer with a rigid
scope (ouch). Do you remember any of that from my old posts - lol .

I thought most uro's would do a cystoscopy (at least in the US) before
proceeding with a TURP or PVP, but apparently that is not the case in Canada
and the UK. I believe a cysto will definitely give the uro a better idea of
what kind of blockages are in the way and also check for any kind of bladder
disease processes. And a flex scope will certainly allow better pictures of
the bladder (by retroflexion). If you have a TURP or PVP using a rigid
resectoscope (with no previous cystoscope), then there is no way to get
retroflexion.

Sorry, I am starting to ramble. Anyway, IMHO I think it would be advisable
to have a cystoscopy before agreeing to any kind of surgery. Hope this
helps...Pete


.



Relevant Pages

  • Re: Which way to go?
    ... is not enough to warrant surgery IMO. ... you without a cystoscopy being performed first. ... If you have read my posts I have made ... to getting a first hand look at the prostatic urethra and bladder (via ...
    (sci.med.prostate.bph)
  • Re: Which way to go?
    ... is not enough to warrant surgery IMO. ... you without a cystoscopy being performed first. ... Ed...You are quite knowledgeable and I have been reading your posts ... that uro's use to inspect the prostate and bladder). ...
    (sci.med.prostate.bph)
  • Re: Which way to go?
    ... is not enough to warrant surgery IMO. ... you without a cystoscopy being performed first. ... Ed...You are quite knowledgeable and I have been reading your posts in here ... to getting a first hand look at the prostatic urethra and bladder (via ...
    (sci.med.prostate.bph)
  • Re: Which way to go?
    ... to any type of surgery. ... What's the purpose of a cystoscopy? ... to getting a first hand look at the prostatic urethra and bladder ... before proceeding with a TURP or PVP, ...
    (sci.med.prostate.bph)
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