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Biopsy Pathology Report & Cysto Operative Report

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  • smcclafferty
    replied
    Wow, no actually, this was my cysto/hydro with biopsy under twilight anesthesia (sedation).

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  • izazen
    replied
    I had the 500 cc's for an office cysto. Is that what you had?

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  • smcclafferty
    replied
    Today my doctor told me that he distends the bladder by "pressure" and not by volume. (I had previously posted that when I called and asked the nurse for the amount it was distended, she treated me poorly and asked why I was asking this...) Then he said that the approximate amount he put in me according to the pressure, was 500 cc's. Does anybody know if this is about average? Thank you.

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  • mich2604
    replied
    why doesnt the diagnosis say IC

    I just looked over my report, the dr never went over my report with me afterwards, i guess thats standard.

    the pathology report states mild chronic cystitis as the diagnosis.....is this the same as IC?

    The operative report doesnt say how far they distended it, but it does say total bladder capacity of 900ml.

    the two biopsies read as follows

    Bladder biopsy:
    Mild chronic cystitis
    mast cells identified with special stain
    mast cell count is as follows (field diameter .54mm)
    15 per high pwer field within the lamin propria
    0- per high pwoer field within the mascularis propria

    2nd one
    mild chronic cystits
    mast cells identified with special stain
    11 per high power field within the lamina propria
    1 per high power field within the mascularis propria
    negative for carcinoma

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  • smcclafferty
    replied
    BIOPSY RESULTS:
    POSTERIOR BLADDER WALL BIOPSY: Minute fragment of bladder mucosa and submucosa, with partly denuded transitional epithelium. No evidence of atypia, dysplasia, or malignancy in sections examined.
    RIGHT BLADDER WALL BIOPSY: Small fragment of bladder mucosa and submucosa showing minimal lymphoid infiltrate in submucosa, possibly minimal chronic inflammation. No evidence of atypia, dysplasia, or malignancy in sections examined. About 20% of surface epithelium is partly denuded.
    LEFT BLADDER WALL BIOPSY: Minute fragment of bladder mucosa and submucosa with minimal lymphoid infiltrate in submucosa. No evidence of atypia, dysplasia, or malignancy.

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  • smcclafferty
    replied
    Yes, I believe they have to know, I don't know how they can just shove an undisclosed amount of fluid up into your bladder! But anyway, she made me feel so bad that I don't want to call her back and ask her, I'm just going to wait until I go to the doctor in 2 weeks. I DO have my operative report, but the amount of hydrodistention is NOT disclosed. Thank you.

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  • Elle
    replied
    I'm sure they know, since the amout of fluid that's put in your body and the amount that comes out is typically documented. Shame on her for treating you like that! I'm betting she wasn't in the OR with you??? Chances are, she's just never actually heard anyone discuss this and was making you feel bad to compensate for her own ignorance.
    BTW - You have a legal right to review and have copies of ALL of your medical records (with the exception of some psy records in certain cases). So, the nurse can just get over it and do her job! Remeber, she works for YOU! Things like this really tick me off!!

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  • smcclafferty
    replied
    I'm in the process of gathering all of my information, and I just feel like crying about the way I was treated today. My operative report didn't say how far they distended my bladder, and since everyone on here basically knows how far their bladder was stretched, I figured it was a "normal" question. The nurse at my doctor's office said "why are you asking this?" " in my 7 years of working here, nobody has ever asked that question before" and things of that nature. She was acting like I either had no right to know, or why in the world would I ask such a "stupid" thing. She is going to ask the doctor tomorrow, but she is acting like it was no set amount, that he just filled it up with the solution, and they don't know "how much"!!! I feel really mistreated and alarmed at their reactions. Well, once I finally get that information, I can post all of it, but I may never get to know about the amount of the hydrodistention if they don't even know! Thank you.

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  • SandyRN
    replied
    I just looked for mine and it's not with all my other medical stuff. I know that my doctor filled my bladder twice and saw glomerulations that indicated, "chronic interstitial cystitis and recurring cystitis". A biopsy was done to rule out malignancy, and it was negative. Wish I could find it cuz I'd love to read the rest of it now.

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  • smcclafferty
    replied
    So do I! I want to read everybody's! I will post it as soon as I can.

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  • SandyRN
    replied
    I love to read things like that! Just post it when you're ready!

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  • smcclafferty
    replied
    Ok, tonight when I get the time (it will take a while to post it all), I will type out certain parts of the biopsy and operative report. I just want to know what other people's looks like, and I also want help with my own. Thank you.

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  • Sarojini
    replied
    As Sandy said, let us know some specifics if you need help... there are several nurses and a couple scientists in the medical field around here who can help with the "medical-ese."

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  • sweetangel2080
    replied
    I had a second cystoscopy and found that they said there was congestion as well as glomerations. have never heard of congestion before.

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  • SandyRN
    replied
    I've got mine somewhere. What did you want to know? If you get a copy of your's there are a lot of us on here that can help you decipher it. If you need me to look I'll see if I can find mine tomorrow.

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