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Medical Forum / Diseases and Disorders / Prostate BPH / December 2003What tests before PVP??
I'll be seeing a uro on 1/5. I might or might not have BPH (at one time I was certain it was that, but the last few months I have had mucho problems also mimicking prostatitis/cystitis). Anyway, what tests am I likely in for as part of the dx. I am male (well...duh...I'd better be), 57 years old. PSA tests have been quite good (ranges between 1.6 and 2.1 and in fact the last one in March was slightly less than the one a year earlier) and DRE exams have been normal. So, I am hoping he does not want to do a biopsy. Here is what I am guessing, so please comment: 1) DRE of course 2) Maybe another PSA 3) uroflow type test? Possibly a follow-up ultrasound of the bladder to see about retention? 4) ultrasound of prostate?? 5) cystoscopy (most probable)? I would also welcome comments about the last 2 tests. I had a cystoscopy about 7-8 years ago. I seem to remember that it was not really painful, but quite uncomfortable, but also it was quite brief -- the actual scope procedure after the anesthetic seemed to last 3-4 minutes. I'm hoping the procedure has improved to where it involves even less discomfort. Finally, I've never had an ultrasound (of the prostate). What is that like? MB I'm got an eval/consult for a PVP in two weeks . They have clearly indicated: PSA, and cystoscopy. Cystoscopy is uncomfortable but not painful. DRE, flow and bladder ultrasound if done are quick and easy. Bladder ultrasound is totally external with no pain at all. A prostate ultrasound is like an extended DRE by someone with a big finger. The bioposy is uncomfortable but not really painful. I would want a biopsy because cancer must be ruled out before the PVP. I had a biopsy one month age and will bring those test results to the eval visit. Good luck. Some UROs also want a urodynamic test of the bladder which is not painful but uncomfortable as they ask you to bear quite a lot of urgency while they make their readings. Jim W. > I'll be seeing a uro on 1/5. I might or might not have BPH (at one time I > was certain it was that, but the last few months I have had mucho problems [quoted text clipped - 30 lines] > > MB > Some UROs also want a urodynamic test of the bladder which is not painful > but uncomfortable as they ask you to bear quite a lot of urgency while they > make their readings. Jim W. That would be one test I would fail miserably. Last time I had this test (7 years ago) the little flapper valve in my Prostate slammed shut and I had to drive myself from the clinic to the nearest hospital to have a catheter installed. Can you believe the clinic didn't have a catheter lying around? Griff > > Some UROs also want a urodynamic test of the bladder which is not painful > > but uncomfortable as they ask you to bear quite a lot of urgency while they [quoted text clipped - 8 lines] > > Griff There is no "flapper valve " in the prostate or the bladder you have a median lobe enlargement which then acts like a flap blocking the outflow when you put the bladder under pressure Uros dont bother to explain this > There is no "flapper valve " in the prostate or the bladder you have a > median lobe enlargement which then acts like a flap blocking the outflow > when you put the bladder under pressure Yes, I happen to know that! I guess I shouldn't try and be funny in a Newsgroup about a very unfunny condition. Griff There's a catheter in place for the test to introduce the water to fill the bladder, right? As I recall I had to void "around" the catheters when they blissfully let me empty. I guess the catheter is 1 way only? Jim w. > > > Some UROs also want a urodynamic test of the bladder which is not > painful [quoted text clipped - 16 lines] > > Uros dont bother to explain this > There's a catheter in place for the test to introduce the water to fill the > bladder, right? As I recall I had to void "around" the catheters when they > blissfully let me empty. I guess the catheter is 1 way only? Jim w. You know, I believe when I had to gulp down gallons of water and wait until I burst it was for an ultrasound test. So we are probably talking apples and oranges here. The ultrasound clinic did not have a catheter available. My GP was in the building so I raced upstairs (trying to race upstairs with your legs crossed is a bit of a feat). He didn't have one either! He told me to get in my car and drive to the Hospital downtown (again, trying to drive with your legs crossed is real fun!) Fade to the Emergency room one hour later. There I am in the corner banging my head firmly against the wall and moaning very loudly waiting for my turn to get examined. That is one experience that I would rate about on the same level of agony as burning in Hell. Griff |
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