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Date Posted: 18:52:44 09/08/22 Thu
Author: No name
Subject: Re: Interesting historic documentation PS
In reply to: Garr 's message, "Re: Interesting historic documentation PS" on 14:35:36 09/08/22 Thu

Here is one report I got that illustrates cystoscopy procedures on a boy during tonsillectomy. The catheter arrangement with bladder irrigation seem to indicate that they took a lot of specimens inside his bladder or did some surgical modification through the instrument in addition to just looking.

My hypothesis is simply that tonsillectomies and planned endoscopic pelvic procedures at the same age level, are often done during the same anesthetic session, but the tonsillectomy is the thing told about to the kid in advance, and the pelvic procedure is either untold or only admitted reluctantly.

And here is the report:


------------------------------------------------------------
Boy, Enagland, 10 years old, tonsillectomy with unexpected cystoscopy and possibly bladder biopsies

I am male. As preteen, 10. The procedure happened in England, in 2010 or later. I had tonsillectomy. "They were taking my tonsils out because I got tonsillitis twice in the same year.


PREPARATIONS AND ANESTHESIA

They gave me gas through a mask. They put a mask on me and had me count backwards from ten. I made it to six. The procedure happened in a hospital. My parents brought me there. I was 10 and it happened in the hospital in the city I live in.


ARRANGEMENTS AFTER THE PROCEDURE

Yes I had an iv to give me some fluid. Yeah, I had catheter, but they told me I would wake up with one because the sleepy doctor I had likes to keep it in until you are awake. Yeah they had me conected to a machine that put some liquid in my bladder then pumped it out. Nothing in my butt. Heart monitor, blood pressure and thing to see how I was breathing.

They checked the machine hooked to my bladder a few times in the night. I was asleep the whole time. I did start waking up in the operating room after the surgery was over and remember being rolled out to the recovery room well a nurse squeezed a bag attached to my breathing tube. They then connected it another tube once I was in the recovery room. It was about 20 minutes later that I got it out.


SYMPTOMS AFTER THE PROCEDURE

I had pain, irritition or other problems in my mouth. I had pain, irritation or other problems in my respiratory tract or lungs. I had pain or irritation in my anus or rectum.


OBSERVATIONS

My underwear beng messed up or other signs that I had been stripped naked at my lower body. The procedure or the time till I regained consciousness took at least twice as long time than expected. My parents or others giving hints or remarks about unexpected symptoms or signs.

When I went to sleep I had my underwear on but when I woke up I wasn't wearing any and I had a tube in my penis. Yeah they said something about checking my bladder because a cousin had cancer in theirs, so they checked mine when I was having my tonsils out. They checked my bladder with a camera they put down my penis.
The tube in my penis really bothered me and they kept me overnight even though some other kids who had their tonsils out that day got to go home.


COMMENT

They had planned both the tonsillectomy and the bladder procedures on the boy and decided to do them in the same session. The flushing of the bladder suggest that they did some surgical procedure there too, most probably tissue sampling. The irritation in his anus suggest some examination also in his rectum and lower colon, possibly a pelvic ultrasound and sigmoidoscopy.

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