A new to us urologist was brave enough to take a scope and look up my husband's penis to gage his risk for having a cystoscopy. Other supposed renown urologist and rebuild specialist was too afraid to go in as my husband is post surgery, EBRT and brachytherapy.
We appreciated Dr. Harry Rutland's extra caution and the "do no harm" attitude of this Atlanta area urologist.
The good news was that Dr. Rutland completed the cystoscopy same day and saw no evidence of cancer in the bladder. The false alarm/uptake with the Axumin scan may have been due to urine still in the bladder at the time of scan. Husband goes all the time but doesn't seem to empty it.
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Grumpyswife
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The reason instruments should be avoided after radiation is that the tissue becomes friable and is easily broken, so there is danger of long-term damage. Many PET indicators are excreted in the urine, so the radiologist should have considered any uptake in the kidneys, bladder and urethra to be because of urine flow.
Both radiologists and one of the MOs felt the bladder wall had more then mild-moderate activity. If a different cancer was found in the bladder the treatment plan would have changed. That is why 3 of 4 docs felt the cystoscopy would be useful and the 4th eventually agreed.
I've had a few up the willy and into the pee bag explorations.
Trivia:
My only comment is that two Urologists told me that cancer in the bladder looks like tiny broccoli.
Opps one more comment: Fool proof method if you want to completely empty your bladder is to grasp little willy and squeeze and twist it as if you were squeezing a dish rag. HInt: Place and bite on a rolled up sock in your mouth so the family won't hear you screaming.
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