no dx, just symptoms

16 years 11 months ago #4754 by scott54
Replied by scott54 on topic no dx, just symptoms

Pat

I went back and looked - you are right, it is a cystoscope, I misunderstood.

Scott

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16 years 11 months ago #4746 by Patricia
Replied by Patricia on topic no dx, just symptoms
Scott...just wondering why your uro doesn't just do a cystoscope...poke and peek...rather than a cystoscopy first? Pat

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16 years 11 months ago #4745 by scott54
Replied by scott54 on topic no dx, just symptoms
Thanks for your replies. I am concerned and it is stressful. This is a good website and just reading what others are going thru helps.

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16 years 11 months ago #4735 by cta7978
Replied by cta7978 on topic no dx, just symptoms
Some interesting info to fuel the anxiety fire - but good stuff;

Diagnosis

The most common sign of bladder cancer is hematuria [20]. This may be either grossly visible or only
detectable microscopically. There is no correlation between the amount of hematuria and the extent of cancer. Most cases of hematuria are asymptomatic or `painless'. Microhematuria is present in 9-18% of normal patients. The 95% confidence interval for microhematuria in the normal population is three red blood cells/ high-power field. Therefore, patients with more than three red blood cells/high-power field on two or more properly collected urine specimens should be evaluated.
The chance of finding a urothelial malignancy does vary with patient age and the presence of gross versus microscopic hematuria. Evaluation of a patient who is younger than 40 years old and has microhematuria has a yield of 1.5-6% of diagnosing a urothelial malignancy,
compared with 20-25% in a patient who is older than 50 years with gross hematuria [21], particularly if symptoms of irritability are present and infection has been excluded.


Up to one-third of patients with bladder cancer may present with irritative voiding symptoms such as
urgency, frequency, or dysuria [22]. These symptoms, although often misinterpreted as representing bacterial cystitis, may commonly occur in patients with CIS or with tumors at the trigone. Gross hematuria should prompt a complete evaluation of the urinary tract. This should include upper tract imaging studies, cystoscopy, and examination of urinary cytology.

Current Opinion in Urology. 10(4):291-299, July 2000.
Hassen, Waleed; Droller, Michael J.

Chris A.
Diagnosed T1G3 - 3/01/06
37 yo, Seattle, WA

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16 years 11 months ago #4734 by mznoregrets
Replied by mznoregrets on topic no dx, just symptoms
Hi Scott,

   Wish I could make the anxiety go away for you - that is no fun - I been there. It sounds like you have been diligent in getting prudent care and that is a strong positive for you. And I agree with Sky and Christopher - get the scope appointment moved up. Peace of mind matters - gotcha on my prayer list.. Holly

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16 years 11 months ago #4733 by skypilot
Replied by skypilot on topic no dx, just symptoms
I would like to sugest you not worry about what may not be. But I was wondering why you have to wait so long for A cistoscope. Maybe you shold push for one sooner. That might ease your waiting pains, Good luck and keep us posted, you came to the rite place folks here really want to help. Don Skypilot

Hanging in there!

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