Obtsruction at bladder neck
Posted , 18 users are following.
Would a cat scan be the best way to determine if there is obstruction at the bladder neck?
Thanks.
Rich
0 likes, 29 replies
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Notes on Obtsruction at bladder neck
Howard31850 richp21
Posted
A FLEXIBLE cystoscopy is the best way but make sure he uses a flexible and NOT a rigid cystoscope. It is fast and easy and you may get to watch the trip in and out along with the uro.
gene97713 richp21
Posted
I agree with those who voted for a flexible (vs. rigid, which will make you bleeding for a few days) CYSTOSCOPY. It takes only few minutes, uses local numbing of the urethra, doesn't introduce infection but allows you and your Uro to see in a full color on a big monitor your urethra, bladder, and bladder neck. Any changes in the bladder wall can be detected during the Cystoscopy. It brings much more information than CT or MRI scan, except for prostate cancer or volume(which shouldn't not prostrate you 😃).
According to one recent study, X-ray CT scan is more accurate in determination of prostate volume, but 3T MRI with a contrast is much better in PC diagnostic, albeit expensive.
Good urography CT scan bares an exposure to 10 mSv of radiation to the entire abdomen (similar to 5 years dose of natural exposure to all sources of radiation). I don't think that CT scan (around $300-400) or 3T MRI, which is according to some sources cost $1200 out of pocket in S-F is much cheaper than in office cystoscopy for your insurance, unless it's an HMO, which doesn't pay much to your doctor anyway.
uncklefester gene97713
Posted
Why do you think a flexible cysto won't give you and infection? Its a foreign object going the wrong way on a one way street. If its not cleaned well or handled poorly you could get an infection.
Howard31850 richp21
Edited
A flexible cystoscopy is not invasive at all. Also the doctor can image your bladder wall and check for any early signs of bladder cancer. It is not something to fear but rather be grateful for this technology. The whole process takes less than one minute and you feel nothing at all.
arlington Howard31850
Posted
Not true in my case - although I'm sure others have had better experiences.
mikemh Howard31850
Posted
"you feel nothing at all" - wow - when I had one it was incredibly painful!
richp21 arlington
Posted
Was yours flexible?
richp21 mikemh
Posted
Was yours flexible?
benThere Howard31850
Posted
The first one I had, the nurse injected some lidocain to numb it, it was uncomfortable but not painful. It was painful to pee for a couple of days after. The next two the doctor didn't use anything to numb it, just a little lube and I think they went sparingly on the lube. They both hurt quite a bit.
arlington richp21
Posted
yes
arlington richp21
Edited
The worse part for me was urethra "trauma" because the nurse kind of jammed it in and yanked it out (much too quickly). I would have been much more slow and gentle. They are in a hurry and think that because it is numbed it doesn't matter - but that doesn't prevent damage.
frank27027 richp21
Posted
richpe ,Thats a good question. I would like to know that also. You could ask your urologist that question.
I believe a MRI would tell that answer.
Frank,
tom6446 richp21
Posted
I have a similar situation with an obstruction near the bladder. I did a normal cytoscopy and was told that an MRI would not show anything. I want aware if it was flexible or not but there was no camera with it. The camera with the scope sounds like the best alternative.
gene97713 richp21
Posted
That's not true. My MRI urography with contrast clearly demonstrated partial obstruction of the bladder neck, which is probably gone after successful PAE. Didn't have any imaging 14 months after PAE. Doctors say there are no clinical reasons for imaging. Most problems solved for the time being. It might come back, though.