Re: Which way to go?
- From: "Dean" <deanp@xxxxxxxxx>
- Date: Wed, 18 Jul 2007 20:14:42 -0400
"Ed" <ed@xxxxx> wrote in message
news:qf8t935a1cv7p8kenn5386jhfbaf19tg3k@xxxxxxxxxx
On Wed, 18 Jul 2007 17:59:22 -0400, "Pete" <pete@xxxxxxxxxx> wrote:
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
Thanks... of course I hear talk about cystoscopy all the time here,
but I don't think anybody ever explained why they are done. Your
explanation helps a bit. Still isn't very convincing... I mean, there
is not enough there for me to justify approaching my uro and ask for
one.
Yeah, I could do Google....
Ed
It is my understanding that the need for surgery is established by symptoms
and the cystoscopy doesn't need to be done until under anesthesia and
immediately before turp, PVP or whichever procedure is to be done. Dean,
.
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