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Re: need answers asap; endometriosis apparently inside bladder, and insurance won't cover surgery to find out; how serious can this get?

From: a (anonymous@obgyn.net)
Fri, 9 May 2003 05:44:57 -0500 (CDT)


Holly,

Get a referal to the urologist for urine retention and inability to urinate. Do not have your doctor giving referal mention endometriosis. Go see urologist and see what he/she says. He may be able to have cystoscopy approved as a way to check for urine retention NOT as an endo problem. Normally cystoscopy is a fairly easy procedure done as an outpatient (I just had one a couple of months ago). I would suggest having this done before the endo surgery just in case there is more going on than just endo. And ask the urologist about dilating your urethra. I was retaining about a cup of urine at all times (which can lead to infection) and got down to just a few ml after the dilation.

Bottom line is that some of the bladder problems could be caused by something other than endo and they won't know until the cystoscopy. Get it checked out as a non endo related issue (I do not have endo but had urine retention). If the insurance company denies, appeal! All else fails, call the state insurance commissioner's office. But the simple answer may be to get the cystoscopy approved without endo mentioned (which is not wrong to do because at this point endo is only suspected per your message - could be something else wrong).

Good luck!!!!

>At Thu, 8 May 2003, holly wrote:
>>
>>sorry about the long subject title. i just am really at a loss. my gyn
>>wants to do excision surgery as soon as possible. he also wants to have
>>a urologist help and do a cystoscopy at the same time. they keep
>>finding blood in my urine and i can't urinate sometimes. the pain when
>>my bladder has anything in it is horrible. and it's gradually getting
>>worse day by day.
>>
>>my insurance company won't cover another surgery related to
>>endometriosis until january 2004. the ins girl at my doc's office is
>>calling them tomorrow to appeal this. but if they don't approve, how
>>serious could this get?
>>
>>when i try to urinate, it takes about 10 minutes sometimes to get
>>anything. i never completely empty my bladder. when i try, i have pain
>>that goes down my legs and up my back and also throughout my abdomen.
>>
>>i'm in shock that they would deny coverage. and i'm very concerned
>>about permanent damage.
>>
>>please help.
>




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