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Date Posted: 19:14:54 02/08/21 Mon
Author: Nein Danke
Subject: Re: UTI in children often lead to cystoscopy
In reply to: Knut Holt 's message, "UTI in children often lead to cystoscopy" on 17:54:01 02/08/21 Mon

How would they numb the urethra sufficiently for a cystoscopy with the child awake? Just numbing gel through the urethra? Local anesthetic injection sounds painful for the child.

Do many reports suggest epidural anesthesia during procedures?

It still surprises me that a cystoscopy performed as part of a secret research program wouldn't regularly have complications like bladder control issues for a while after the procedure for some children.

If children experience these issues, wouldn't that justify further exams repeatedly?

>In many societies children that once have had an ITI,
>and especially boys will automatically get a
>cystoscopy.
>
>Tt is said that certain development anomalies in the
>urinary system lead to UTI and than an UTI is a sign
>that such anomalies exist that should be treated.
>
>The current recommendation that I last read is that
>all boys that have had an UTI and all girls that have
>had more than one UTI shall be examined endoscopically.
>
>From there it is not far to get the idea that all
>children shall have a cystoscopy at certain ages to
>detect anomalies and prevent UTI.
>
>My investigations seem to indicate that many societies
>indeed have established that practice, but never tell
>much about it to the general public.
>
>And Yes, a cystoscopy performed clumsily can lead to
>infection or mechanical injuries. If the procedure is
>performed under general anesthesia, this in addition
>gives risks and bad side effects.
>
>My stance after having gone through a lot of reports
>is that all children might benefit form a simple
>cystoscopy without any kind of surgical component just
>to look id something is wrong, but done with local
>anesthesia. With modern instruments this is fully
>possible without causing much discomfort.

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