Monday, July 27, 2009

Man's Nightmare


Today i had a clinic attachment for flexible cystoscopy. Basically it's a routine follow up for patients who had previous bladder cancer or patients who have any problems with their urinary tract.

So what the doctor will do, is to insert a flexible camera down the urinary tract, and go up till it reaches the bladder. By then, the doctor will assess the surface of the bladder through the screen, take some biopsy if necessary.

It must be very uneasy for the patient to go through this procedure, but surprisingly only small numbers of patients will come in with anxiety. I asked the registrar how hard could it be for the patient to undergo this process, he answered, "why don't you have a try and tell me that?" Hell no....haha!

Everything seemed fine until the last patient came in. His prostatic part of the urethra was very narrowed, and the registrar couldn't push it through due to previous prostate cancer and scarring. Then the scariest thing came in, the 'dilator'. There were different sizes for the dilators, so the doctor started inserting the smallest size, then took it out and changed to a bigger size. Gosh, you will faint if you see how gory the procedure turned out to be. There was some bleeding and the patient was moaning in pain. But in the end, the doctor still unable to put in the camera, and required surgical help.

Whatever diseases i may get in the future, just hope it will not be related to my kidney or urinary tract.

0 thought: