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Date Posted: 05:04:28 05/28/22 Sat
Author: Knut Holt
Subject: Boy, 13yo, UK, cystoscopy combinded with colorectal inspections at school


Boy, 13yo, UK, cystoscopy combinded with colorectal inspections at school

I had cystoscopy as a 13 year old boy in Cambridge United Kingdom, in the period 1960-1969.

Had cystoscopy in a special room at school apart from the rooms where ordinary physicals occured. I did not know that that special cystoscopy room at school existed as it was some secret place.

Parents said something like: The doctor shall look at you down in your stomach. Nurse and mother were precent.

PREPARATIONS

Given enema at home before going. Got to a special preparation room. Had to undress completely and go to bed. Had to walk by myself to the exam.

Taken vitals like temperature heart rate and blood pressure. A consent formula was presented and signed. Was totally naked during exam. Lay on back with legs in stirrups. I got Lubricated but no pain killing.

WHAT I REMEMBER FROM THE PROCEDURE

They put a rigid stick-like cystoscope in through the urethra. They pumped upp the bladder with air or gas when looking inside. They pumped up and irrigated bladder with water when looking inside.

The scope or a new intrument was inserted even further up towards the kindeys.

ADDITIONAL EXAM

They inserted an ultrasond probe in through the anus to inspect the bladder and genital area. They made an ultrasound exam of the scrotum and testicles. They inspected the whole colon - full colonoscopy.

ARRANGEMENT 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.

DIAGNOSIS AND TREATMENT

Diagnosis - valves or constrictions in the urethra. Stricture of urethra and bladder neck Had corrective surgery. Years later had to cathterrize weekly still ongoing.


THE REASON FOR THE PROCEDURE

The reason was problems with urination. It was useful. It was not any big deal.

COMMENTS

Some schools have specil rooms for advanced examination. It looks like this scool had such rooms.

Usually doctors do these exams. But possibly this school had a standing service for endoscopic examinations of kids with pelvic problems, and that a nurse had been given special training in doing these exams.

The procedure relieved some common problems in boys that can cause serious problems later.

Ultrasounds probes wore not commonly used at that time, so what was used was probably a rigid sigmoidosope with electric lightning to inspect his anus and terminal colon.

Endoscopes for full colonoscopy were not invented either at that time, so I guess they used a flexible tube that had sections to inflate to measue dimmentions and test reactions in the colon. This set could look like a modern colonoscope.

Even though he could not rememeber any anesthesia, the lubrication used and probably injected in urethra and anus before the procedure, contained probably some local anesthesia and sedative medicine.

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