Urology: Concerns About Recurrence and Safe Practices

Q: Urology: Concerns About Recurrence and Safe Practices

Hello： 1) Is it possible to perform the examination without an anoscope? It depends on the physician's preference. <br>2) It is still important to practice safe sex; swimming is not recommended, and mucosal wounds should heal for two weeks. <br>3) It is essential to consult your

Infection and examination issues?

Hello, doctor.
Last year, I underwent a local anesthesia electrocautery procedure, and three months later, it recurred.
In early January of this year, I had a spinal anesthesia electrocautery procedure.
A week later, during a check-up (using only a finger, without an anoscope), the doctor said that the spinal anesthesia could clean it very well, so there was no need to worry about recurrence, and no follow-up was necessary.
I can also wash my underwear with my family.

I have a few questions:
1.
Is it acceptable to perform an examination without using an anoscope? (The doctor mentioned that if the finger examination did not detect anything, then there was no need for an anoscope, which is why it wasn't used this time.) Is this correct?
2.
My partner is aware of my condition, and since my diagnosis last year, through the recurrence and the electrocautery in January, we have been taking separate baths for nearly five months, and I have not allowed any contact with his genitals or fingers near the anal area.
Now that the doctor says everything is fine, he has planned a trip to a motel next week to celebrate.
Is it now appropriate for us to take a bath together and engage in sexual activity? Additionally, can I go swimming?
3.
I have seen recommendations for follow-up appointments every three months or six months, so why does my doctor feel confident that I do not need one? I am happy but also a bit anxious.
Is the effectiveness of spinal anesthesia really that good? As the New Year approaches, I wish you a happy New Year, and thank you for your answers, doctor.

Niming, 30~39 year old female. Ask Date: 2019/01/24

Dr. Du Shixi reply Urology

Hello: 1) Is it possible to perform the examination without an anoscope? It depends on the physician's preference.
2) It is still important to practice safe sex; swimming is not recommended, and mucosal wounds should heal for two weeks.
3) It is essential to consult your physician about their confidence in handling the situation, so you may want to ask your doctor.
If I were treating the patient, I would advise them to return for a follow-up (regarding the genital area).
Wishing you good health.

Reply Date: 2019/01/24

More Info

When it comes to urological health, particularly after procedures like electrocautery for conditions such as hemorrhoids or other rectal issues, it's essential to understand the implications of follow-up care and safe practices. Based on your questions, let's address each concern systematically.

1. Use of Digital Examination vs. Anoscopy: Your doctor mentioned that a digital examination (using a finger) was sufficient to assess your condition and that an anoscope (a more invasive tool) would only be used if necessary. This is a common practice in urology and proctology. A digital examination can provide a good initial assessment of the rectal area, and if the physician feels that there are no abnormalities detected, they may decide that further examination with an anoscope is unnecessary. However, if there are symptoms or findings that warrant a more thorough investigation, an anoscope would be the next step. It's important to trust your physician's judgment, but if you have lingering concerns, seeking a second opinion can provide additional reassurance.

2. Engaging in Sexual Activity and Bathing: Given that your doctor has indicated that you are clear of any issues following your procedure, it is generally safe to resume normal activities, including sexual relations and bathing together. However, it is crucial to ensure that both you and your partner feel comfortable and confident in this decision. If you have been advised to avoid contact for a certain period, it is wise to follow that guidance until you feel fully healed. As for swimming, if your doctor has cleared you for regular activities, swimming should also be fine, provided there are no open wounds or ongoing symptoms. Always ensure that you are in a clean environment to minimize the risk of infection.

3. Follow-Up Care and Monitoring: The recommendation for regular follow-ups, such as every three to six months, is standard in managing conditions that may recur. Your physician's confidence in the effectiveness of the half-body anesthesia procedure and the thoroughness of the electrocautery may be based on their clinical experience and the specifics of your case. However, it is always prudent to have regular check-ups, especially after a recurrence. If you feel uneasy about not having a follow-up scheduled, express your concerns to your doctor. They may be able to provide additional reassurance or schedule a follow-up if needed.

In summary, while your doctor seems confident in your recovery, it is essential to maintain open communication with them regarding your concerns. Resuming normal activities, including sexual relations and swimming, should be fine if you feel comfortable and have been cleared by your physician. Regular follow-ups are crucial for monitoring your health, especially after a recurrence of any condition. If you have any doubts or feel anxious, do not hesitate to seek further clarification or a second opinion. Your health and peace of mind are paramount.

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