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Medical Forum / Diseases and Disorders / Prostate BPH / June 2004Initial PVP Uro visit --- what should I expect
Darn --- sorry for so many posts --- I keep thinking of questions after sending my posts. What should I expect at my first uro visit?? (I assume a discussion and a DRE --- I recently have had PSA testing done). Any other tests first time? Is he likely to do a cystoscopy in the office? Ultrasound? Voiding test? Mel > Darn --- sorry for so many posts --- I keep thinking of questions after > sending my posts. [quoted text clipped - 7 lines] > > Mel All of the above, and then a big, fat, bill.;-) Good luck.......... Just make sure they do the flow test first. On my first visit, the nurse had me pee in the cup when I got there. 30 min later post-cystoscope, all I had was a dribble so they didn't get a valid reading. They did the post-void residual with an ultrasound. It came out zero but I know that's not always the case. You should ask about treatment options, surgical and non-surgical. Ask about any long term effects of Flowmax use. Ask about potential bladder damage if you don't have a surgical treatment. I'm sure you'll think of plenty of things to ask before you go. Just write them down so you don't forget. > Darn --- sorry for so many posts --- I keep thinking of questions after > sending my posts. [quoted text clipped - 7 lines] > > Mel Sorry to ask, but what is a cystoscope? > Just make sure they do the flow test first. On my first visit, the nurse > had me pee in the cup when I got there. 30 min later post-cystoscope, all I [quoted text clipped - 20 lines] > > > > Mel >Sorry to ask, but what is a cystoscope? There are two kinds of probes that enter the penis and go up the urethra into the bladder. The horribly really painful one is rigid, the painful one is flexible. They let the doctor see inside. They were invented during the Spanish Inquisition. Since my rigid cystoscope I've been worse. I've had 2 flexible cyctoscopys and found them nothing to worry about - hope it's the same for you. Jim W. > >Sorry to ask, but what is a cystoscope? > > [quoted text clipped - 7 lines] > > Since my rigid cystoscope I've been worse. My symptoms were BPH. The doc used a flexible cystoscope. He started by injecting (using a syringe with no needle) some xylocane up the urethrea. About 20 cc I'd guess. When inserted the cystoscope, there was almost nothing felt. While he did the exam, he flowed about 250ml of saline into the bladder. Then he drained me in the potty with the flow meter and did a ultrasound to measure the size of the prostate. It took about :45. Like another pt of the same doc, I had a little stinging when taking a leak after this exam, lasting for 2 days. It was surprisingly painless. So was the PVP that followed. I was delighted. Bill Hale My uro used a flexible cystoscope. About 15 min before he did the exam, the nurse injected (via a small tube) lydocain into my penis to numb it. This just felt cold. The cystoscope exam was not painful until he pulled it out. I went "whoooaa" and he said "that usually gets their attention." The whole thing took less than a minute as I recall. Starting the next day for about 1 1/2 days, urination was quite painful, it felt like I was peeing razor blades. After that, everything was back to normal. > Sorry to ask, but what is a cystoscope? > [quoted text clipped - 4 lines] > > post-void residual with an ultrasound. It came out zero but I know that's > > not always the case. |
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