Anesthesia for Bluelight Cysto/Biopsies

4 years 5 months ago #52392 by Mike M
Hello Friends,
Trying to decide if I go with "local standby (Monitored Anesthesia Care)" or insist on general anesthesia for an upcoming Bluelight Cysview Cystoscopy procedure to include several biopsies? Has anyone had this procedure with the local standby MAC anesthesia and if so, how was the experience? Thanks.

12/15 - Diagnosed Ta HG, 1.5cm Pap, Focal CIS
3/16 - Began BCG following NCCN and SWOG guidelines
2/19 - Ta HG recurrence and CIS/Ta HG in right kidney/ureter
2/19 - Nephroureterectomy to remove right kidney/ureter
9/19 - BCGx33 completed
2/20 - Invasive HG urothelial pT2 in prostate stroma

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4 years 5 months ago - 4 years 5 months ago #52394 by Sean T
Replied by Sean T on topic Anesthesia for Bluelight Cysto/Biopsies
I had the Bluelight but chose general anesthesia. The idea of being conscious during these procedures is a bridge I'm not willing to cross yet.

08/16/16 - TURBT - 1 tumor, T1HG, 7.5 cm x 7.5 cm x 1.8 cm, non-invasive papillary.
BCG treatments (15 rounds total - last March, 2018). As of latest cysto, Dec 10, 2019 - cancer free!

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4 years 5 months ago #52399 by Alan
Replied by Alan on topic Anesthesia for Bluelight Cysto/Biopsies
If they are going in for biopsies I would tell them to knock me out. So many of the meds in the past 10 years are so much better with fewer side effects plus for what is usually 30 minutes or less you normally are not put into a deep anesthesia knock out.

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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