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Date Posted: 03:27:02 03/10/23 Fri
Author: Knut Holt
Subject: Girls, 4-16yo, Westerm Eu, cystosocpy, vaginoscopy, colonoscopy by rsearch program

Girls, 4-16yo, Westerm Eu, cystosocpy, vaginoscopy, colonoscopy by rsearch program

I had cystoscopy - I am female. My doughter had cystoscopy. My mother had cystoscopy. A female friend had cystoscopy. The exam took place in Western Europe, every year from 4 to 16 yo, in the perods, 1990-1999, 2000-2004. Year 2005, Year 2006, Year 2007, Year 2008, Year 2009, Year 2010, Year 2011.

Had cystoscopy in the doctor's or nurse's office at school. Also doctor and nurse team was driving around in the area in an ambulance-like car. They visited homes with children, took the children into the car and performed a cystoscopy on them there.

Furthermore a doctor and nurse team was driving around in an ambulance-like car. They visited schools or kindergartens, took the children into the car and performed cystoscopy on them there.

Also a doctor and nurse team performed the cystoscopy in a home visit. I got no explanation. The exams were a total surprize.

All girls in the area has a mandatory cystoscopy before beginning school. All prepuberty girls in the area has a mandatory cystoscopy. All teenage girls in the area has a mandatory cystoscopy as a part of the puberty assessment. Certain age groups of adults are given a offer for cystoscopy as a standard screening. The cystoscopy was a part of a research project.


PREPARATIONS

Had to stop eating several hours before the cystoscopy. Given laxatives at home before the exam. Given enema at home before going. Got to a special preparation room. Had to undress completely and go to bed. Given enema during preparations.

While in bed given medicine to get very sleepy but was awake. Had to walk by myself to the exam.

Taken vitals like temperature, heart rate and blood pressure.

Got a tube into a blood vessel to give anesthesia. Got very sleepy but was conscious. Was totally naked during exam. Lay on back with legs in stirrups.

WHAT I REMEMBER FROM THE PROCEDURE

They put a rigid stick-like cystoscope in through the urethra. They put a flexible snake-like cystoscope in through the urethra. They pumped up the bladder with air or gas when looking inside. They pumped up and irrigated bladder with water when looking inside. They took out the scope and inserted a new scope to take further specimens. The scope or a new intrument was inserted even further up towards the kindeys.

They also used an ultrasond probe on the stomach to inspect the bladder area. They inserted an ultrasond probe in through the vagina to inspect the bladder and genital area. They inserted an ultrasond probe in through the anus to inspect the bladder and genital area.

They inspected anus with a scope. They inspected with a scope some way up into the colon - sigmoidoscopy. They inspected the whole colon - full colonoscopy.

ARRANGEMENTS AFTER THE EXAM

Had catheter in the bladder some time after the exam. Had to stay in bed more that a day after the exam. Got medicines into urethra with a syringe after the exam.

DIAGNOSIS AND FOLLOW-UP

Diagnosis - low bladder capasity. Had to have a cathetherization routine. Had to have catheter in the bladder during night.


OWN JUDGEMENT ABOUT THE ORDEALS

It was unneccessary. It was painful. It was humiliating or awful.


COMMENTS

This report seems to be from a small or middle sized comune in Western Europe. Since the report is made by clicking at premade options, it is difficult to know what country it is from. But certain combinations suggest Germany or perhaaps Norway.

The comune participates in a long term program for research where all small and pubertal female children have a gynecological exam combined with very intrusive endocopic exam in the urinary system and lower digestive system, probably coordinated internationally by the WHO.

It is not clear from the report if also boys are used in the program in that comune. If not, there is surely a nearby comune where they use the boys similarly with cystoscopies and endoscopies through aanus..

However, the setting for examination of boys during these programs is usually more complicated. When they examine a boy they will use a more advanced stirrup set that allows frequent adjustment of how his legs are spread and flexed, and frequent adjustment of the availablility of his anus and genitals.

A boy will usually get general anesthesia with artificcial ventilation. He will usually be placed in an itensive care unit situated in the local health center, in the school or in the kindergarten, with intravenous sedation for hours and sometimes up to 3 days. A boy will usually also have a cathater through his anus for continuous drainage and flushing of his lower digestive systemg for several hours.

Wile girls will have an endocopy of her genitals thrrough the vagina, they will often perform complicated endocopies of the entire internal genital aparatus of a boy, and not only examination of penis and testicles which necessitates using both the anus, urethra and puncture of scrototum as entrances for instruments at the same time.

Because of these differences, it seem that certain areas specialize in using the boys, while others the girls, or that different teams in differnt vans take care of the girls and boys.

Having ambulating vans with doctors and nurses travelling along for advanced examinations of kids is getting steadily more common.

It seems like the reporting girl had more of the exams than the average, since she got a diagnosis and treatment. All the exams an treatment modalities are very common in children or teens, but very little talked about.

It could be interesting to have a conversation with the reporter or how this reseearch prrogram acted in the area, and how theey took caree of boys too in this area or nearby areas.

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