Male Urologic Dilemma

Nurses General Nursing

Published

First, let me say that I am not asking for medical advice. I am under the care of my PCP and am paying the big $$ for that. I guess I am just looking for social advice, a shoulder to cry on, words of wisdom, or just to vent.

Over the past year I have been having a problem with blood in the urine when I go to see my doc. He makes it a point to have a ua done every time I go there. Most of the time there is a small amount of blood, not visible, but enough to be a concern. He wants me to go to a urologist to make sure we are not dealing with cancer. The problem is that all the uros in this town use an exclusively female assistive team. The testing for my condition will probably involve a cystocope, something that usually requires assistants.

I have nothing against women, trust me I really don't. I just have this mega problem with modesty. The reason for this is due to a horrifying experience I had when I was a teenager in high school when I was a patient in a hospital. It's a real ugly story. As a result of that experience, I have a very serious primal fear of being in a medical environment and being exposed and touched in any intimate way by females. It's absolutely terrifying and beyond my ability to fully articulate just how bad this is for me. :cry:

My doc says he knows how I feel, and that he has had other male patients bring up the problem in the past. He said he has a patient who had decided to just live with a painful condition rather than go through treatment. I guess it would be like a female patient going to her gyno and finding an all male assistive team. Or going to get a mammogram and encountering all male techs. Even without any particlar modesty issues, I think most women would find this uncomfortable at the least, and most likely just plain unacceptable.

My doc is trying to find a urologist in neighboring towns who might have some male assistants working there. I believe he is really trying, but so far no luck. I went to one of the local urology clinic's website and they had a contact email. I loved how they said "your concerns are our concerns." They never responded to my very polite email. :angryfire I am sitting here with a potentially life threatening condition that I can't get treated for and it's really depressing...:(

When you figure that urologists are the primary provider of reproductive health of men, it just makes sense to have some males working there to assist on those procedures that require them. Granted, they treat women too but the patient load for urologists is about 70% male, based on what I've seen in the waiting rooms.

Please don't think I am anti female because I am not. I just think there are times when men are best treated by other men just to get the comfort level up to a reasonable point where they can accept care.

Advice, opinions, what should I do??? :monkeydance:

I am sleep deprived an out of line.

I really wanted to get that scope out of the way before I went on vacation so I wouldn't have to worry about it. I did worry some. Of course, when I was flying the bush plane over the mountain passes and glaciers out of Seldovia, or enjoying a crab feast at a resort on a fiord, or having all you can eat lobster on the cruise ship, I have to admit that the scope was far from my mind. :lol2:

We dodged the bullet 3 times while away, any one of which could have ruined the whole vacation, or worse. But the good Lord kept us safe.

Today I kept the uro appt and went in. Haven't been that nervous in a long time. Nice clean place, everybody very friendly. Very Christian environment, biblical theme artwork and decorations everywhere. A bible in every exam room and waiting room. The receptionist and an MA were discussing the merits of a particlar scripture while I waited. I am a Christian and I immediately felt safe, kinda like you do with family. I was ready to see if they lived the faith. While walking in I had noticed that the Doc's parking spot was occupied by a big diesel Chevy bubba truck. Cool. Doc comes in and introduces himself. Korean descent, with a nice gentle easy going way about him, easy to talk to. After going through the usual general health questions he says, "your Doctor tells me you have an important matter you need to discuss." So I didn't have to break the ice. I laid out the whole trauma incident in about 5 sentences. He said, "I understand perfectly, I can do the procedure by myself, no assistant, it's not a problem at all." WOW! Just like that! I felt like hugging him right there :icon_hug:! But I think I will wait until after the procedure is done.

Now feeling like the world is a wonderful place. :wink2:

Scheduled the cysto for 9 July.

Have you been checked for Kidney problems? With many patients, this microscopic blood in the urine is one of the first signs of Kidney damage. We have patients of different cultures or preferences that prefer ONLY female assistive staff. Having all male uro staff does not prevent the bad stuff from happening. You can have "bad" no matter what is going on.

Wish you the best. :idea:

I have had the whole workup. No signs of anything wrong from what we can tell with the MRI, CT, and IVP. The concern now is bladder cancer which the scope should reveal. Thanks.

Specializes in Cardiac.
After going through the usual general health questions he says, "your Doctor tells me you have an important matter you need to discuss." So I didn't have to break the ice. I laid out the whole trauma incident in about 5 sentences. He said, "I understand perfectly, I can do the procedure by myself, no assistant, it's not a problem at all.

Wonderful news!!!

Hey, all you can eat crab and lobster? I'm jealous...;) (and hungry...)

The Big Day finally arrived. I got the scope done today. I realize now that I worried a lot more about this than I needed to.

I took the day off from work. My wife came with me and stayed in the room throughout the procedure. There was a female employee involved at first. I say employee because I heard her referred to as a nurse but she had no nametag on and didn't introduce herself. Usual characteristics of an MA. She looked a little flustered and even disappointed when I reminded her that the doc agreed to perform the scope without an assistant. I allowed her to position me if she agreed to not expose me and I did allow her to do the antibiotic injection in the butt. Easier than taking pills which I would have had to stop and buy later.

Doc came in and asked how I was feeling and I admitted to being nervous. He said I would do fine. He didn't fold down the paper sheet but tore a hole in it to expose the precious part. He first cleaned the member with a pinkish substance on it, not the usual betadine. Then he injected the lidocaine gel. It burned going in and he put a metal clamp on the member to hold the gel in. My wife said she thought it was a torture device but it really didn't hurt at all. The Doc made small talk and gave the gel a chance to take effect. After a few minutes he produced the scope and it was way bigger than I was expecting, I bet it was nearly 1/4 inch diameter. :eek: The part with the light on it was smaller though. He put it in and when he got to the prostate he said to breathe like I was panting, sorta like a woman in labor does. It went right on through. Uncomfortable but not painful. It didn't seem to me like it went in very far but my wife said she thought it went so deep she was expecting to see it come out my nose. :bugeyes: I could feel the Doc moving the scope around but it wasn't causing any pain. When he was done he pulled it out rather quickly I thought, I suppose there is a reason for that but I didn't get to ask. I was all kind of messy with the gel and a little blood. I just sat there with a sterile towel covering me and listened as he said that there was no sign of cancer. He felt that the blood was caused by the slowly enlarging prostate and the thinning of the blood vessel walls, all normal for a 50 year old.

So I went out of there feeling like a huge weight had been lifted off my shoulders. Overall it wasn't that bad, a little uncomfortable perhaps, but not really painful. Over the years I have heard all kinds of hideous stories about the horror of a cystoscope. Maybe they are just better at it nowadays. The Doc did compliment me on being a good patient, better than most he said. But maybe he says that to everybody. :rolleyes:

The worst part came later when I peed for the first time. YYYOOOOWWWWEEEEE!!! Burned the urethra like crazy! Not the whole length but the last 1 1/2 inch or so. By the second pee it was like yyyoowwwweeeee, lower case, less pain but still an attention getter. Subsequent bathroom trips and we are down to yowee, loosing some letters but still hurting. Well, the Doc did say I would be "sore" for a day or so.

And that was it. I can say that without the encouragement I got here I probably would have never gone in and had this taken care of. No doubt I would have just kept putting it off and worrying and stressing out over it for a long time to come. I want you all to know I read each post and I appreciate every one of them. Y'all have spared me some sleepless nights and higher BP readings for sure. I owe all who responded a big :icon_hug:. Thank You Thank You Thank You....

yay!!!!!!!

:flowersfo:smiley_aa:w00t:

Specializes in CT ,ICU,CCU,Tele,ED,Hospice.

congrats i am glad you had it done .sounds like good news .takecare

aw, 58.....:icon_hug:

your relief is palpable.

job well done!

leslie

Hey, Flyer......my youngest tried to claim my new toy as her own.....ever get into a tug of war with a three-year-old??? :rotfl:

Specializes in Neuro/Med-Surg/Oncology.

:w00t:

I'm so glad everything turned out okay with both the procedure itself and the results!

I am sleep deprived an out of line.

Wake up sleepyhead........:smilecoffeecup:

Hey, Flyer......my youngest tried to claim my new toy as her own.....ever get into a tug of war with a three-year-old??? :rotfl:
Better hang on to that key chain, it may be awhile before I can get back to Alaska to get you another one. :lol2:
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