Question about spincter

Today seems to be my posting day! I have a question about how your doctors view your spincter muscle. I asked the doctor that did the cysto on my hubby how the spincter looked. He said he couldn't see that and in order to see the spincter he would need to open him up. Now, many of you have posted about your doc being able to see the sphncter, so I do not understand this. this is a very well known doc and I have to believe him, but I am needless to say, confused. Can any one out there shed light on this for me. Also, I keep saying my husband had a cysto and I think that is what it was called. He had the camera scope to see inside his bladder. Thanks.

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Husband Age 61

PSA 2.32 1/06

PSA 4.98 9/07

Biopsy 12/07 results in hospitalization for severe sepsis infection

Infection causes congestive heart failure

Biopsy results: Gleason 3+3=6 10% of 1 of 6 cores on left 0 of 6 cores on left

Echo stress test 1/16/08 cleared for surgery- reevaluate congestive HF 7/08

RRP 2/26/08 blood transfusion needed

Adenocarcinoma Gleason 3+3=6 pT2c, NX. MX Clear margins Seminal vesicles no evidence of malignancy

Incontinence-bad -cysto 8 weeks post surgery for burning and incontinence-looks fine

ED-tried Cialsis(no luck) but worried about effect on heart-Now using VED for therapy

12 weeks post op incontinence still bad

Hey Nancy, Not sure what your Doctor meant. I have had one regular Cystoscope and 4 colligen injections. With each a camera probe is inserted. The Cystoscope has a articulating tip on it that once inside the bladder it can be turned to view all areas. The colligen injections are done using a rigid scope. But still, each time the doctor looked at the interior of the sphincter muscle. He even had to tighten up to see how it worked. I can only guess that your Doctor was talking about the external structure of the sphincter.
KW

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    43 at Dx and Surgery

    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7

    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 

    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006

    First Post op PSA on Dec. 11, 2006  Undetectable 0.00.

    ED workable and usable with Viagra.

    Feb. 20th, 2007 - Feb. 4th, 2008  Cystoscope, Two Collagen injections,Second Opinion Consultation for Incontinance at OU Medical Center, Bio-Feedback training, Chiropractic, Accupuncture  to try to resolve ongoing incontinance (4-6 pads a day)  All PSA's 0.00.

    Feb. 22nd, 2008 - Surgery to install the AMS AdVance Male Sling.

    March 27th, 2008 - Sling not working, Little or no improvement.

    April 18, 2008 - Collagen injection.  Back to using 4-6 full pads a day within a week.

    May 14, 2008 - Another collagen injection to try to Band-Aid the leaking for our June cruise.  Will start making conusultation appiontments for AUS after we return.