BS: Is Laser Treatment Advisable ? Possible

Subject: BS: Is Laser Treatment Advisable ? Possible
From: GUEST,Beachcomber
Date: 07 Nov 06 - 03:00 PM

I confess right away that I have little or no Medical knowledge but,for the last few years I have had to undergo Endoscopy at my local Regional Hospital. I was originally diagnosed, post T.U.R.B. with Cystitis of the Bladder and was told, verbally, that a malignancy was involved. I was also informed then, that my Prostate Gland was not "abnormally" enlarged (I am 67yrs old)
Later, a junior doctor allowed me to see my Lab Report which noted "No malignancy apparent". However my Consultant doctor insisted that "in his opinion the growths were, in fact, cancerous".
After many hospital visits to the Endoscopy Dept I seem to be still without definite information as regards my condition.
Now, as a consequence, I suppose, of the regular Trans Urethral Resection of the Bladder (endoscopal procedures), I am finding it increasingly difficult to urinate,but, still feel the urge to urinate very frequently.
I have recently heard word that the Scar tissue build up in the Urethra might be removed by Laser surgery, but wonder why this was not done already ?
Can any "neighbour" give any advice as to how I might best proceed?

I take this liberty as I have already seen a thread referring to Cancer of the Prostate on Mudcat, fairly recently.
Perhaps someone may have similiar, or had similiar, experience.
If so, I sincerely hope you have found a "cure" for the constant discomfort.

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: jeffp
Date: 07 Nov 06 - 03:57 PM

It was not done probably because it takes time to build up. In other words, it was not there at the time of the surgery because it was the surgery that caused it to build up. Also, they are not likely to do another procedure unless they have gotten your consent.

I am curious as to what sort of lab report you saw that noted no apparent malignancy but was contradicted by the consulting physician. Was it a scan? Biopsy?

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: Q (Frank Staplin)
Date: 07 Nov 06 - 07:34 PM

Your urologist is the only one whose advice can count- ours won't help. If you don't trust your urologist, ask him to to get you a second opinion.

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: catspaw49
Date: 07 Nov 06 - 09:01 PM

You need a real doctor. If this guy isn't giving you answers or you have questions, an unsure feeling that you seem to have.....GO GET ANOTHER OPINION. I don't know what your situation is but it seems from what you have said is that you've been given very mixed and unclear info.....It's your life, your body.....and YOUR RIGHT TO GET ANOTHER OPINION.

I am lucky to have a lot of close friends and my wife who are all medical types so advice is easier for me perhaps.....but the one thing they would all tell you is GET ANOTHER OPINION.

Spaw

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: GUEST,beachcomber
Date: 08 Nov 06 - 03:17 PM

Thank you jeffp for your interest. Yes, it was the report of a Biopsy that was taken and that gave the "clear of cancer" diagnosis. However, I had already been told (immediately afterwards) by the doctor who performed the initial endoscopy procedure that, in his opinion, the cyst that he had removed was cancerous. As I said, another (intern) allowed me, at a later visit, to see the lab report.
I had a brief, fairly mild quarrel over this confusing information with the consultant who performed the subsequent TURB procedures. He reacted as though I had called his competence into question. I felt that I had to apologise in order to continue to attend his clinic which is by far the most convenient for me.
Now I am overdue again, to have the "distending procedure" ( I have already had it once , some months ago) carried out. I wonder if there is some way that the scar tissue can be prevented/removed. If there is, I shall be demanding that it be proceeded with.
Thanks also Q and Catspaw49 , you're right of course, I should have sought a second opinion but, the consultant under whose care I am, is very , very highly regarded.

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: Deckman
Date: 08 Nov 06 - 03:36 PM

Don't make the serious MISTAKE of relying on the internet for MEDICAL advice.

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: Rasener
Date: 08 Nov 06 - 04:37 PM

>>I am finding it increasingly difficult to urinate,but, still feel the urge to urinate very frequently.
<<
Has this been discussed with your consultant? Has he checked to see what the problem is? That is not clear from what I can see.

The main reason for going back for an endoscopy check on the bladder, is to make sure the growth has not come back. It is quite common for it to come back.

Its 8 years since I had my surgery and in the first 2 or three years I was going back on a regular basis. As time went on the time between each check up increased. Now I go back once a year and that will be for the rest of my life.

Subject: RE: BS: Is Laser Treatment Advisable ? Possible
From: jeffp
Date: 08 Nov 06 - 04:58 PM

Definitely get a second opinion. Even "highly regarded" doctors are human and, therefore, fallible. This guy sounds like an arrogant asshole to me.