 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate BPH / March 2006Urethral dilation
My URO has scheduled me for a cystoscopy and possible urethral dilation March 23 due to dimished flow 10.6 ml/sec after PVP Feb 23, 05. He wrote the procedure as 'dilation' and not 'dilatation' as some have reported in this ng. I would be interested in hearing from members of the group who have had the procedure. What is it like? What were the aftereffects? What was the outcome? Yes, it would be useful to hear more than the customary knee-jerk dismissals of dilatation: it isn't done any more, it isn't a permanent solution and will have to be redone, they don;t use balloons any more etc. PVP, it appears, isn't a permanent solution either. Dilatation might have to be done a couple of times as prostate tissue returns to the state that it was in before dilatation. The potential collateral damage of dilatation seems to be minimal, small in comparison to surgery. It doesn't have to be done with balloons; it can be done with rods. It's painful. That's what anesthesia is for. And so on. It seems reasonable for bph sufferers to give this a try before turning to surgery. If it has to be repeated a couple of times a year, the same could be said of my trips to the periodontist. I put the above out in the knowledge that some of it may be wrong. But I would like to see people with relevant skills/experience address these things, and compare its effects with surgery.. Jesse > My URO has scheduled me for a cystoscopy and possible urethral dilation > March 23 due to dimished flow 10.6 ml/sec after PVP Feb 23, 05. He > wrote the procedure as 'dilation' and not 'dilatation' as some have > reported in this ng. I would be interested in hearing from members of > the group who have had the procedure. What is it like? What were the > aftereffects? What was the outcome? I had a Urodynamics test and a cystoscopy the same day a couple of weeks ago, and noticed that my flow was much improved after that. Since I spent a fair amount of time with oversized things in my urethra, I assume the effect was similar to a dilation/dilatation. In my case, the tests were in preparation for a PVP (which I will issue a separate post on), so I can't say how long the effect would have lasted. But I was wondering, why couldn't they combine a balloon treatment with a stent, like they do for arteries? The balloon to open things up, and the stent to keep it that way. It works long term for angioplasty, why not for a prostate? It would be less invasive than cutting or burning. Tho of course no analogy is perfect, Temujin's comparison of dilatation with angioplasty makes sense: the engineering would seem similar. Has anybody had experience with dilatation? Is there a literature on it? It seems to be another one of those traditional treatments that have been superseded by advanced high tech surgery, and so the virtues of the earler treatment have been forgotten and it has largely fallen out of medical practice. Jesse Chockman, I had the urethal dilation or dilitation, whatever it is called, about 6 weeks ago. It was done in office. The URO put a numbing jelly in my uretha. I have read on this newsgroup that the URO should wait about 15 minutes after putting the numbing jelly in there so it will be numb. My URO started almost immediately and I can tell you it was the most painful thing I have ever experienced and I will NOT have it again without being sedated. When I came out of his office, I had to sit in the waiting room about 30 minutes before I could even make it to my vehicle to leave. The pain only lasted about 3 hours and I had some burning for about 24 hours. I have read on this group where others did not experience that type of pain but for me it was very, very painful. Buford R >My URO has scheduled me for a cystoscopy and possible urethral dilation >March 23 due to dimished flow 10.6 ml/sec after PVP Feb 23, 05. He >wrote the procedure as 'dilation' and not 'dilatation' as some have >reported in this ng. I would be interested in hearing from members of >the group who have had the procedure. What is it like? What were the >aftereffects? What was the outcome? Thanks for your reply, Buford.. I escaped having a dilation today since the channel seems very open right up through the bladder neck. So I am to try a month of Enablex and see what that does to quiet the bladder down at night. I am curious about your dilation experience. My URO waited 15 min before beginning the flexible cystoscopy. Did your URO do a flexible cysto when he did the dilation? I had little discomfort with the flexible cysto but expect some burning on urination before the day is over. What instruments were used for the dilation? Graduated sizes of catheters, or metal instruments? I am a bit uncomfortable but certainly did not feel any need for being sedated. Thanks for a reply... > Chockman, > [quoted text clipped - 18 lines] >>the group who have had the procedure. What is it like? What were the >>aftereffects? What was the outcome? Chockman, I cannot say for certain what it was. He did not wait the 15 minutes. He started almost immediately. He tried an instrument which could have been a cystoscope, I am really not sure. I started hurting and he said I know what to do. He left the room and came back with what looked like a group of rods on a tray starting with the smaller size first and then to the largest. As I told you, others seemed to not have as much pain as I did while others will tell you what I told you. I would think it would depend on how small your urethra is to start with but I am not sure about that. Anyway, all I can tell you is mine was one of the most painful experiences I ever encountered and I must have passed 20-30 blood clots afterwards. Buford R >Thanks for your reply, Buford.. > [quoted text clipped - 15 lines] >>>the group who have had the procedure. What is it like? What were the >>>aftereffects? What was the outcome? Is there any procedure performed by a Urologist is is not painful? As leaving my UROs office the last time I made a comment to my wife about "Dr. -----'s Little House of Horrors". > Chockman, > [quoted text clipped - 30 lines] >>>> the group who have had the procedure. What is it like? What were the >>>> aftereffects? What was the outcome? I have a great difficulty understanding how a URO can push ahead and not let the lidocaine work for 10-15 minutes before starting his procedure. The same principle holds when you go to a dentist. Unless the dentist is willing to be patient and let you numb up, you will be in pain as soon as he starts drilling. If my URO or my dentist failed to let the lidocaine work for 10-15 minutes, I would be finding a new URO and a new dentist. Thanks, Buford for sharing more of the details. Looks like he was using a set of incrementally larger urethral sounds. I can understand why it would be painful if he was knocking loose all those blood clots. It does not sound like you had healed up after your PVP. OUCH!!! OUCH!!! OUCH!! My flexible cystoscopy today was relatively painfree. I wonder if it was made easier by the fact that there was a open passage in the urethra for the cystoscope. My brother had a cystoscopy (before his recent open prostatectomy) on his nearly occluded urethra (through his 103 grm prostate) that was painful and bloody. I have had some very minor burning this evening, but am pretty much back to normal voiding. Thank God for small blessings!!! Wishing you the very best in your recovery!!! > Chockman, > [quoted text clipped - 31 lines] >>>>the group who have had the procedure. What is it like? What were the >>>>aftereffects? What was the outcome? Buford, the dilation sounds terribly painful, tho as you say, sedation might be helpful. What was the effect of this: did it change urinary frequency, flow, etc -- in other words, did all that suffering make things work better? Jesse I won't really know until next week. The URO wanted me to continue to take Flomax until the end of March and come off and see what happens to the flow. My flow is fine with the Flomax and that is why I cannot answer your question now. If it is like before, I will know in a couple of weeks how it is going. I don't want to scare everybody about this procedure. There was one who wrote on another post that used the same URO with no sedation and said it was not that bad. I guess it is up to the individual but for me, it hurt very bad. The good news was it only lasted a few hours followed by about 24 hours of burning. I will post in couple of weeks and give you my progress. Buford R >Buford, the dilation sounds terribly painful, tho as you say, sedation >might be helpful. What was the effect of this: did it change urinary >frequency, flow, etc -- in other words, did all that suffering make >things work better? > >Jesse |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.