Author Topic: Ureteroscopy  (Read 8862 times)

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Ureteroscopy
« on: 03 August, 2017, 07:52:06 pm »
I'm starting a separate thread because I now think this does deserve a thread of its own. I've previously mentioned it in the "random" thread.

I've got a kidney stone in my left ureter. I'm going to be admitted to hospital to have it removed. This will most likely involve frikkin' lasers or a pneumatic drill.

https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Ureteroscopy%20for%20stone.pdf refers and https://www.baus.org.uk/_userfiles/pages/files/Patients/Leaflets/Ureteroscopy_diag.pdf refer.

Has anyone else on here had this done?
Quote from: Dez
It doesn’t matter where you start. Just start.

hellymedic

  • Just do it!
Re: Ureteroscopy
« Reply #1 on: 03 August, 2017, 08:04:20 pm »
Nobody I know.
Rigid cystoscopy under GA seems horrid for those I know who have had this.
Hope yours is successful and not to horrible!

Re: Ureteroscopy
« Reply #2 on: 03 August, 2017, 08:46:19 pm »
I have no knowledge of this but I am glad it is getting attended to for the sake of your kidney(s). Re Helly’s reference, it is relatively good news that the process involves flexible / non-rigid endoscopes.

All the best for the procedure.

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #3 on: 03 August, 2017, 09:16:29 pm »
I'm actually quite in awe of a system which can take what was a pretty insignificant and transient symptom (two occasions I noticed a slight pink tinge to my wee) and investigate it to this extent. I reckon only a relatively small minority of people would have noticed the symptom and followed it up, so my trepidation is mixed with a certain smugness.
Quote from: Dez
It doesn’t matter where you start. Just start.

hellymedic

  • Just do it!
Re: Ureteroscopy
« Reply #4 on: 03 August, 2017, 09:29:32 pm »
Bloody wee is a 'red light' feature of possible bladder cancer so it gets investigated and treated to the hilt.
Seems they've found a benign cause for yours but they want to make sure the stone is the ONLY cause.

Bladder cancer is often eminently treatable if caught early.

Re: Ureteroscopy
« Reply #5 on: 03 August, 2017, 09:41:14 pm »
Agree it was good that you noticed and acted on it.

The NHS, as far as I can tell from my own experiences and from those of friends, are doing well in terms of the speed of referrals to specialists when certain symptoms present.

A couple of years ago I mentioned to my GP that I had noticed an odd lump on my lower jawbone. The GP said that she would refer me to someone appropriate. A day or two later I got an appointment letter entitled HEAD AND NECK CANCER!!!!!! URGENT!!!! or similar, which certainly put the wind up me for the couple of weeks that it took to see someone to tell me it was probably nothing.

Kim

  • Timelord
    • Fediverse
Re: Ureteroscopy
« Reply #6 on: 03 August, 2017, 10:09:58 pm »
Putting the wind up people with Probably Nothing is by far the best side of caution to err on.   :thumbsup:

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #7 on: 03 August, 2017, 11:17:06 pm »
Bloody wee is a 'red light' feature of possible bladder cancer so it gets investigated and treated to the hilt.
Seems they've found a benign cause for yours but they want to make sure the stone is the ONLY cause.

Bladder cancer is often eminently treatable if caught early.

A test for abnormal cells came back with a big fat "NEGATIVE", I'm  glad to say.
Quote from: Dez
It doesn’t matter where you start. Just start.

hellymedic

  • Just do it!
Re: Ureteroscopy
« Reply #8 on: 03 August, 2017, 11:18:59 pm »
Bloody wee is a 'red light' feature of possible bladder cancer so it gets investigated and treated to the hilt.
Seems they've found a benign cause for yours but they want to make sure the stone is the ONLY cause.

Bladder cancer is often eminently treatable if caught early.

A test for abnormal cells came back with a big fat "NEGATIVE", I'm  glad to say.

So I gathered.
Relief all round!

robgul

  • Cycle:End-to-End webmaster
  • cyclist, Cytech accredited mechanic & woodworker
    • Cycle:End-to-End
Re: Ureteroscopy
« Reply #9 on: 04 August, 2017, 07:11:48 am »
Bloody wee is a 'red light' feature of possible bladder cancer so it gets investigated and treated to the hilt.
Seems they've found a benign cause for yours but they want to make sure the stone is the ONLY cause.

Bladder cancer is often eminently treatable if caught early.

Don't I know it! 

In my case the "red light" was enormous globs of blood  :(      Attention from the NHS was very fast - with investigations, bladder flushing, cystoscopies and a bladder cancer diagnosis.  Chemo over about 12 weeks to start with and then a radical cystectomy means that according to my consultant I'm back to about 90% life expectancy for my age.  Start to finish was about 5 months - that was 3 years ago.

Subsequent CT scans and flexible cystoscopies (the camera thing with just a local/numbing gel is a bit unnerving the first time but no big deal - no jokes about having to use the extra long one!) have shown no recurrence. :thumbsup:

If in doubt - get to the doc straight away - I was referred by the GP with an appointment with the initial team at urology within 4 days.

Rob

hellymedic

  • Just do it!
Re: Ureteroscopy
« Reply #10 on: 04 August, 2017, 12:22:01 pm »
My Dad was treated for bladder cancer a few years ago. He kept his bladder and has appeared to be clear for a while.

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #11 on: 07 August, 2017, 05:02:17 pm »
My daughter told me about a colleague of hers who had bladder cancer and was pissing clots of blood. He is now totally cured, apparently, by a remarkable procedure. His bladder was deliberately infected with TB bacteria and when all the cancer cells were infected, then they whacked in the antibiotics and killed the tumour. Assuming she got that right, that's an amazing procedure. For the duration of his bladder having TB, he was instructed to piss into containers that were then sealed and destroyed by the hospital. For him to piss into the lavatory and it then be treated by the sewage works would have been a source of TB infection, it seems.

For my part, I have an appointment with the surgeon on 21st Aug to discuss the procedure. I am drinking lots of water trying to shift this thing naturally. However, I have been told to expect lots of pain, fever, nausea, shaking etc. should it move. The lady I spoke to at the urology clinic today told me of another patient who passed a stone that was 1cm in diameter. Mine is "borderline for its size in terms of whether it will be passed without any medical intervention". I find it quite remarkable that it was formed in my kidney and has moved to where it is, without me having suffered any pain at all - unless it can be confused with sciatica, or whether the fact that I have had sciatica means that I am far less sensitive to pain. I find that unlikely.

Ouch.
Quote from: Dez
It doesn’t matter where you start. Just start.

hellymedic

  • Just do it!
Re: Ureteroscopy
« Reply #12 on: 07 August, 2017, 05:38:42 pm »
I think my Dad did not have BCG bacteria introduced into his bladder.
I think it was the 'next step' up a treatment hierarchy he never required.
AFAIK it was discussed but not implemented.

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #13 on: 10 August, 2017, 11:37:33 pm »
Now I have a pre-op appointment for 7th September. This will involve x-rays, blood tests, more urine samples and a complete list of my medication. This is all becoming alarmingly real...
Quote from: Dez
It doesn’t matter where you start. Just start.

Re: Ureteroscopy
« Reply #14 on: 11 August, 2017, 10:41:24 am »
I look after cases like yours on a regular basis. You'll get a general anaesthetic (probably) and a catheter in your bladder post-op (probably) which will come out later the same day or the next. Shouldn't be too sore afterwards as there's no incision or stitches involved. Feel free to PM me with any questions.
I am often asked, what does YOAV stand for? It stands for Yoav On A Velo

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #15 on: 11 August, 2017, 02:44:50 pm »
I look after cases like yours on a regular basis. You'll get a general anaesthetic (probably) and a catheter in your bladder post-op (probably) which will come out later the same day or the next. Shouldn't be too sore afterwards as there's no incision or stitches involved. Feel free to PM me with any questions.

I love YACF! We have all the best people!  :thumbsup:

Cheers! If something crops up I will be in touch...
Quote from: Dez
It doesn’t matter where you start. Just start.

Paul

  • L'enfer, c'est les autos.
Re: Ureteroscopy
« Reply #16 on: 12 August, 2017, 12:22:49 am »
I am drinking lots of water trying to shift this thing naturally. However, I have been told to expect lots of pain, fever, nausea, shaking etc. should it move.

Brace yourself. I have this t shirt and it was pretty bad. However, I didn't know I had mine until it was wedged somewhere in my tubes and causing merry hell. I vaguely recall being given something radioactive so they could find where the blockage was. Then lots of nsaids to let it move on. Which it did. Two days later it got stuck half way down my penis during a wee! 2 or 3 quick pints of water later and it was out. I used a tea-strainer to catch the bugger for examination.

I find it quite remarkable that it was formed in my kidney and has moved to where it is, without me having suffered any pain at all.

The medics speculated that my bike ride from Brum to London over 2 really hot days might have been the cause. I don't know whether that they can be formed over such a short period but I had no real idea about hydration in those days. I have made sure ever since not to get that dehydrated again.

Good luck. Fascinated to hear how you get on.
What's so funny about peace, love and understanding?

Re: Ureteroscopy
« Reply #17 on: 14 August, 2017, 06:39:19 am »
Putting the wind up people with Probably Nothing is by far the best side of caution to err on.   :thumbsup:

The NHS has a relatively poor record with Cancer.

Not because they fail with treatment, but often because of late presentation to the Service at which stage it is already advanced and the outcome poor

The classic is the stoic "more elderly gentleman" who has a bit of hesitancy passing urine, and puts it down to age. Then they do the same when they have a bot of "dribbling" after going, and when going to the loo becomes more and more frequent they eventually see someone, and their Ca Prostate is already spreading

People need to be "forced" into taking these things more seriously

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #18 on: 21 August, 2017, 06:10:33 pm »
Appointment this afternoon for a chat with the same guy who carried out my procedure on 7th July. Apparently the stent stays in my ureter for about a fortnight after the op. I forgot to ask how they get it out...
Quote from: Dez
It doesn’t matter where you start. Just start.

Re: Ureteroscopy
« Reply #19 on: 21 August, 2017, 07:37:57 pm »
The same way it was put in, with a general or local anaesthetic depending how it was done the first time. 
I am often asked, what does YOAV stand for? It stands for Yoav On A Velo

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #20 on: 21 August, 2017, 08:17:58 pm »
I have been told that I will have a general anaesthetic for the procedure itself, which involved frikkin' lasers.
Quote from: Dez
It doesn’t matter where you start. Just start.

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #21 on: 07 September, 2017, 08:37:17 am »
Off to the hospital for a few hours this morning, for my pre-op. I have to wee in a bottle before I go.
Quote from: Dez
It doesn’t matter where you start. Just start.

Re: Ureteroscopy
« Reply #22 on: 07 September, 2017, 09:04:25 am »
A friend has ongoing treatment for bladder cancer and the prognosis is good.  As a follow up to the excellent advice above about "getting it checked out" (for the benefit of anyone else reading), my friend did "get it checked out" quickly.  Indeed, his only symptom was seeing some dark blood in his urine on just two occasions.  One of those he only spotted because he happened to turn on the light when he had a wee at night, otherwise he'd have missed it entirely.  Getting off to the doc quickly has given him an excellent outcome.  He's now retired early and goes skiing a lot :-)

T42

  • Apprentice geezer
Re: Ureteroscopy
« Reply #23 on: 07 September, 2017, 09:44:26 am »
Good luck, Wow.
I've dusted off all those old bottles and set them up straight

Wowbagger

  • Stout dipper
    • Stuff mostly about weather
Re: Ureteroscopy
« Reply #24 on: 07 September, 2017, 12:13:18 pm »
Thanks. Home now. A nurse shaved me. This is the first contact I have had with a razor for almost 30 years.

(click to show/hide)
Quote from: Dez
It doesn’t matter where you start. Just start.