That reminds me that my final wisdom tooth removal was done by a Dr. Root in Charleston, WV.
It was painful/uncomfortable; however, I don't think it's dangerous.
I felt queasy watching the scope, because I was nervous and rather fearful that it might hurt. The first bit was painless. Flexible one of course. I did yelp a little as he got to the prostate area, as the gell he embarrassingly squeezed in hadn't got that far I think (tight up there) but it wasn't that bad and I certainly wasn't wimping out having gone that far. I said to carry on, the third go it went through (no doubt smearing the prostatic urethra with lidocaine that hadn't got pumped that far up....) and no further discomfort. Nothing like the yelp I did when they pulled out the catheter post holep by the way, that hurt a fair bit more, but still only for 30 seconds. The scoping seemed to take only a further 35 seconds before he was removing it (painlessly). I kind of semi fainted after getting off the couch, what a pillock (I hadn't eaten much before, for no sensible reason, and was on mainly vegetables as PSA=16.92 and MRI=4, free PSA 4% meant I was in the middle of a prostate cancer scare, so .... salt-less diet had pushed my blood pressure down to 160/57, which doesn't help). Anyway, recovering quickly after snacking on a few biscuits, I was delighted to find my first post-cystoscopic pee was painless. That's because you're full of lidocaine - you just pee'd it out. See, he said at the appointment right after, told you so. I had a hunch about this. On the way home, as I'd drunk tonnes of water as instructed and still had an inflamed prostate=>frequency, I badly needed to pee. As I begun to pee, nothwithstanding that I had stuffed some weird painkilling pill up my rectum as instructed beforehand, it really hurt at the meatus, so I stopped at once (only a few drops out), almost hollering in pain, paused and started again. 10 times over. And I thought, stuff it I'll carry on next time, before I pass out. And you know what, once you've been peeing for 1 to 2 seconds the pain goes almost entirely. You just have to "pee through the pain". How I wish someone had told me that. Of course, the next pee was easier, and by the morning it was gone. So, if the second post-cystoscopic pee hurts for the first second, my advice is DO NOT STOP the pain is (mostly) all gone within 1 to 2 seconds. Post-holep pee pain is deeper and longer-lived (it endures throughout each act of peeing, and for up to 30 seconds thereafter), but with a lesser peak. I think post-cystoscopic pee pain is better due to being so short-lived, but neither are too bad really. Always, weak pee (drink a lot) is good to minimise it. I wouldn't even blink now at having a second cystoscopy, as I know what to expect and although it isn't "nothing", it's not too bad. How stupid I was to be that worried. Risks are very low, utterly minimal. And how strange that no-one gave the above vital tip (I have checked since with other men, it is universal). I told the uro, so that he might tell future patients.
Paul I think every man goes through this at some point. It the fear of the un know. When I had my first one done to check why they could not get a catheter in me in the hospital in 2014. I went on line to read about it. When I was in the office and they told me to undress and get on the table. Told me to lay down. I sat up to watch what was going on. Took the gel and put it in and they put a clap on to hold it in. I did not like the clap. They my doctor came in. He told me to lay down I told him no I want to see whats going on. It did not hurt when he first put it in but as he got near to the prostate it was uncomfortable but no pain. After they gave me a antibiotic to take when I got home. Over the years I have had about 8 to check my stricture. Had my first ridge scope a few weeks ago but was out the way you should be for them. But my doctor or the hospital never gave me a antibiotic which I think they should have. Ended up with a kidney infection and my bladder was inflamed. Better know thank god Take it easy Paul and try to relax Ken
I had a dentist who came to the UK as a refugee from France at the start of the war. His name was Inkpen.
There is a Village by that name in Berkshire and there was an 18th century English clockmaker by that name but I've not met anyone else by the name.
Oh, I wouldn't even blink at cystoscopy if I had to have it again. Half the problem is you read the internet, and of course you can find at least one person that had a bad time with that procedure; but it wasn't that much more bother than a filling, or having a tooth out. I used to dislike them taking a blood sample too, but by the fourth or so time oh, shrug, I knew which arm was best, to drink plenty beforehand (I once misunderstood the instructions for a company medical and didn't drink for 7 hours beforehand, of course that made it a proper swine when they tried to take blood - had to give up, make me drink 1.5 litres then try again an hour later...) and to bend it right back (it broke once so I can bend it a little beyond straight) then you hardly feel it (in the other arm, they'd have poke about for ages unable to find a vein, and it was a little bother). I've gotten used to the canula in the hand before being knocked out, too. Strangely I was relatively speaking without fear by the time I had the holep, although I'd pestered the poor uro' plenty at sessions somehow beforehand with questions about pee pain ("I wouldn't do it if it hurt much" - and it wasn't that bad, either). You get so you've been mussed about with so much, you kind of trust them.
Keith, to decide how to treat your enlarged prostate (and to be sure it is that, and not a bladder issue) they do need to 'scope you - e.g. that would show if it was pushing up at all on the bladder neck (which I believe is quite common) and if you have a significant "median lobe" (makes urolift unlikely to work). Rules out (or identifies) bladder issues (as an explanator for LUTS instead of prostate issues, which is more common), and as a bonus if there are bladder stones, or bladder cancer (VERY unlikely), it would be seen. Trebeculation in bladder would show too. They may fill your bladder with a little water; mine didn't do that. Look on it as a positive step to ID-ing your issue and selecting the best treatment.
I once met a white horse on a hill there by that name, middle name was chalky, surname was white.
Googling, I see that the inkpen white horse has disappeared through lack of maintenance...
Even man has to decide for him self what procedure he want to have. The best thing any man can do is research the pros and cons of every procedure he is thinking of having. The procedure the side effects and the healing time. You have to look at what he can deal with and what you can't. Ask question . Your doctor should be able to tell you everything about the procedure. and he should be concerned with the side effect that your concerned with. If the doctor does not do that you should get another doctor. Also you should never pick a procedure just because you are having problem. There are to many procedure that will help and do the same thing. All procedure do do the same they make a tunnel. With a knife, a laser, steam or clips they all do the same. Then life goes on..Ken
Thanks Paul. So, would you assume if you were me that they were going to do the cystoscopy at my pre-op appointment? Is that pretty standard procedure, do you know. The first time I ever had an appointment with this Dr. was last summer. He did the glove up the anus thing, told me I had an enlarged prostate, and scheduled me for surgery in 3 weeks, the next week after the preop appointment in 2 weeks. He also gave me a DVD & a pamphlet advertising GL surgery. Wouldn't one assume that he had planned on doing this w/o the cystoscopy & the urodynamics or was this exactly what the preoperation appointment is for? I'll never know because doing CIC was working so well for me that I wanted to just hold off awhile and cancelled. Now they seem quite happy sort of following me while I self-cath. The PA said that if thats what I want to do thats fine. They're fine with that.
Keith you did the right thing. Just because you have a large prostate from the anus finger test. Does not mean anything and to schedule you for a GL is a little rushed My doctor just did that a few month's ago because by PSA was a little higher then normal . He said mine was a little bigger but smooth so don't worry about it. Some doctor I think like to force patients into surgery and then deal with the after math. Just do what you want. If CIC is working stay with it Ken
Wow - sounds very much like me. Maybe I am doing the right thing I not only was experienceing urge incontinence like you but also terrible overflow incontinence. My GP didn't catch on to the fact that I was retaining large amounts of urine after NV for months and months. Should have been obvious to a doctor but I didn't know. I thought there was no way a man could have all that urine in the bladder and not even feel it! I bought a pad for the bed and lots of depends. My sweet wife was so understanding. And now thats all changed. This Uro that I met once - the other times have been his assistant - never offered the drugs to me. Did you request them? I had to; I brought it up to them, they prescribed me an alpha blocker but I never picked up the prescription. Maybe my condition is worse than I think and they wanted to rush me into surgery, not knowing I would take to doing CIC so easily. I declined to take the meds due to just having finished hep c treatment.
I did not ask for the meds. Like you, I prefer to take as few drugs as possible. The only other thing I take is a cholesterol lowering drug. My GP prescribed the Flowmax a little over a year ago. I have asked a couple of times since I started cathing if I still need to take it, since I am also now taking finasteride. He said to continue. I will keep asking. It did cause retrograde ejaculation.
I did not have much problem with leakage before I started cathing. I was going alot, but not much would come out. The only issues were when I could not get to a bathroom right away after the urge came.
I would thoroughly check all options before deciding on surgery.