Ductoscopy?!

I discovered a new procedure while roaming the wonderful world of the internet and was wondering what people thought. As described on the website:

"Mammary ductoscopy uses a tiny (0.7 mm in diameter) fiberoptic, flexible scope... that is inserted into the milk duct through the nipple and threaded through the labyrinth of milk ducts deep in the breast"

It sounds like this procedure is done while the patient is awake (i.e. isn't a major surgery.) I don't think this is anything that can be incorporated into a play exam, but the concept sounds pretty intense! Anyone know more about this procedure?

Sorry, I've never heard of this, but it's definitely one that I would imagine being very unpleasant, and not in a good way. Maybe it's just me, but I can't even really imagine this. (well I can, but not for me without sedation)One word comes to mind: Ouch!

Ive never heard of it but i have to say it sounds like fun. id love to try it. sounds like it would hurt so good

rikki

This is also known as ductal lavage. The clinical application is the early detection of cancerous cells in the breat....these cells have a tendency to originate in and around the milk ducts. The procedure is indicated where there is suspicious discharge from the nipple, and/or where other clinical diagnostic procedures (x-ray, MRI) have been inconclusive in results. I attended one such DL session using the First Cyte prduct, now discontinued. There are several small companies with competing products, but none have really gained wide acceptance. DL can be done under either conscious sedation combined with local anesthetic, or local alone. For a trained OB/GYN or oncologist, it is a 20-25 minute procedure. Much easier procedure than a biopsy, but still not one for the play environment.

I'd like to fill in a little if I may ......

There is a significant difference between ductoscopy, where a fiberoptic scope is used for visualization, and ductal lavage to collect cell samples. Ductoscopy has been with us for a while but in it's early days when fiber optic scopes were much less sophisticated than they are today, it was a procedure that was done under general anesthetic. Though it was more of an experimental procedure at the time. Today's modern fiber optic scopes allow the procedure to be done under local topical anesthesia and for some, a mild oral anti-anxiety medication like ativan would be appropriate to use but the need would be on a case by case basis.

Ductal lavage was developed by Dr Susan Love in the past 10 years or so and has probably been widely available in the clinical areas for about the last 4-5 years. I'm not sure it has fallen out of favor as you have suggested but I would be hesitant to say that you are wrong about that either. There have been other successive variants that rely only on suction

only to collect fluid samples for cytology and I'm sure that there are others in development. The whole point being to collect cells from nipple discharge for cyto examination. Sometimes moist heat packs are applied to the breast and or the affected breast is vigorously massaged before trying to collect a sample. There is some information on the net for those interested. Do a google search for "ductal lavage"

As for not being a procedure for the play environment you are probably right though some people who were/are medical professionals (I am an RN) it is within the realm of the doable but for certain, it is a delicate procedure that requires a sensitive touch and most certainly visual aid e.g. magnifying headband. And with anything like this only the right types of supplies and equipment like normal saline for IV administeration (tap water, DIY stuff like salt water or contact lens fluid is unacceptable for this use .. please don't use that stuff) but I have done it in the play environment with the proviso's that I have stated. The catheter size used is about 30 ga.

I respect your knowledge on this subject .. it was coherent, I just wanted to add to it.

Warmest Regards

Will

With no disrespect to any of the prior comments, my play exams often include vigorous breast massage, suction and even soft nibbles. 😁

I definitely would not do this in a real time play exam of course... and would not be pleasant in real life! But in an online roleplay, it sounds very interesting. 😜

Willbow- thank you for the information. I must say that I'm shocked this is something that is even possible to explore in a play exam. What was your patients reaction to this procedure? was this something that was painful or enjoyable? (or both?)

This still strikes me as something that may be more fun to think about than to actually do.. any more information would be appreciated though as this seems like a great concept to incorporate into a story.

All I can say is ouch! I could probably only tolerat that type of exam in a clinical setting. It does not sound very exciting to me.

I had it done to me and it is not painful but it is scary .

defiantly nothing I would let anybody but a doctor do to me.

I had this done for a real medical issue. It was the most PAINFUL thing ever and it has several nasty side effects. Never do it without sedation. Definately not for medical play!

Owwie?

This is probably one of those ones that just generally is a poor idea outside of the clinical setting.....

Sounds like something that i would be reluctant to even have my doctor do to me! but would probably be good in an online cyber setting. anybody who has had it done care to share details?

Sounds horribly painful to me, plus something I don't think an amateur would be able to perform!

Sounds interesting, a simulation of this might be possible for a play scene, I think I might try it with the right person

Ouch!! This sounds like it would hurt. i've never heard of it before though, interesting.

That sounds like one for the imagination but not for real life play

Thanks to all for their information and discussion

OMG thats sounds exstremley sore count me out. def do not want anything going inside my boobs. stick to checking from the outside

While it may have some medical merit; it sounds Way too invasive for 'Play' Just the thought of it sends shivers up my spine; and I'm a Guy... To me, a guy equivalent would be tapping a testicle with a hypodermic, or that probe, to retrieve fluid, or cells... oooh, the thought of it...

Sounds painful.