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    Periodic cyscostopy

    I went to see my urologist today to review results from a recent renal ultrasound (no changes). We discussed a couple other items and she mentioned a change in clinical practice guidelines have eliminated the routine periodic cyscostopy. I will now need one only if I have symptoms, like bleeding, indicating a problem.
    Tom

    "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

    #2
    cystoscopy

    I recommend a cystoscopy for patients with the following issues:

    *Frequent and chronic UTIs
    *Long standing indwelling foley - w/occasional problems every 5 years; without any problems every 10 years.
    *Blood in urine (hematuria)
    *History of stones

    I hope that info helps

    pbr
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      SCI-Nurse - would you also recommend them for individuals with augmented bladders? Or those with a stoma?

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        #4
        Originally posted by SCI-Nurse View Post
        I recommend a cystoscopy for patients with the following issues:

        *Frequent and chronic UTIs
        *Long standing indwelling foley - w/occasional problems every 5 years; without any problems every 10 years.
        *Blood in urine (hematuria)
        *History of stones

        I hope that info helps

        pbr
        I was thinking my every other yearly cystoscopy was too often. But you got me on the last one *History of stones.

        Removing stones #5 surgery 6-23-12.

        I can't stop from getting them!
        sigpic

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          #5
          I have had an indwelling for 47 years and one episode of stones. Maybe it's because a number of previous cyscostopies have come back okay. I go to an SCI outpatient clinic at one of the model SCI centers, so I trust they are right. I just hope the study producing the guidelines wasn't sponsored by my insurance company.
          Tom

          "Blessed are the pessimists, for they hath made backups." Exasperated 20:12

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            #6
            You know jgrant27 that is a great question. I do order ultrasound of the augmented bladder as a routine radiological study. Bladder augmentations are made from intestine so the problems that occur with them are completely different than if you were doing a cystoscopy looking in on the bladder wall. I will have to do some research on that question and get back to you.

            I have patients who use the port to intermittent self cath and with indwelling foleys.

            pbr
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              #7
              My urologist currently plans on having me ultrasound my kidneys yearly, and do cystoscopy every 5 years. I'll ask her about ultrasound of my bladder as well.

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