Doctor insights on:
Urethral Stricture Surgery
I had urethral stricture surgery and am having bleeding with the catheter still in. What should I do?
Call doctor: Anytime you have surgery and have a question about your post surgical course, call your doctor. I much rather someone " bother" me with a questions that turns out to be nothing than have someone not want to "bother" me and it turn out to be serious. You might be bleeding from the surgery or irritation form the catheter...Either way it is better that your surgeon know about this. ...Read more
The canal through which urine exits the bladder, discharging the urine externally. In men, it is about 20-cm long with a membranous, prostatic, bulbar, and pendulous segments ending at the glans penis; it gives passage to the spermatic fluid as well as urine. In the female, the urethra is about 4 cm long & in close relation with the anterior ...Read more
What is the reason that urethral tears heal with a catheter but urethral stricture requires surgery and other measures?
Diffrent problems: A urethral tear is helped by the catheter becuause it seals off the tear, prevents bleeding and keeps down swelling that can obstruct flow. A stricture is scar tissue that has formed after the healing process is complete. Scar tissue formation is a normal part of the healing process. In some pts too much scar tissue forms and obstructs flow.Surgery to clesr out the scar is then necessary. ...Read more
Dr said had weak stream due to urethral stricture. Had vocalcord surgery 5 days ago now stream is weaker, go small amounts. No pn meds.What's wrong?
Here are some ...: All options of surgery for urethral stricture have their unique indications, complications, and results to fit individual needs at a reasonable time in a reasonable way for a reasonable patient by balancing medical necessity and professional (technical) possibility; likewise, the dilemma of choosing the "best" for urethral stricture has been going on and evolving. So, to choose the "best", ask Doc ...Read more
Sort of.: During cystoscopy, a urethral stricture can be visualized. An incision can be made to open up the scar, a procedure called direct vision internal urethrotomy (dviu). This does not heal or "fix" the scarred tissue, but opens up the channel to relieve blockage. There is always the possibility that the stricture will return and require future treatments. Talk to your urologist about your options. ...Read more
I have undergone surgery for urethral stricture in the year 2009.Perform self dilatation since then.Now again I am in trouble in urinating.Treatment?
Based on evaluation.: Unfortunately, urethral stricture disease can be a difficult problem to manage with recurrences possible despite surgical treatment. Further treatment options would depend on a full re-evaluation of your current stricture, with physical exam and urethrography. The location, length, & degree of stricture will help determine treatment. Non -procedure options include self-catheterization. Good luck. ...Read more
Here's some...: Specifically, diminished urine flow from urethral strictures will slowly progressivelyrics diminish and can not be improved with alpha-blocker, but that from prostatitis may fluctuate and be improved with alpha-blocker. More? Seek professional evaluation and counseling timely. ...Read more
Depends...: Its rx options range from urethral dilation to cutting under direct vision (visual internal urethrotomy), one-/two-stage open urethral repair (urethroplasty) with or without graft, self-dilation, stent (now, a history), etc. Note: all these carry no cure and guaranty, and require a close f/u to keep it open; so, patient needs to be aware of such. At times, stricture may recur 15 yrs after surgery. ...Read moreSee 1 more doctor answer
Several causes.: A urethral stricture is a narrowing of the urethra, causing urinary difficulties or obstruction. There are many causes. Injury to the urinary tract from instrumentation, pelvic fracture, or straddle injury are causes. Sexually transmitted infections, skin diseases such as lichen sclerosis, congenital abnormalities such as hypospadias, and radiation therapy for cancer are potential causes. ...Read moreSee 1 more doctor answer
Urethral narrowing.: Urethral stricture disease is a narrowing of the urethra, usually associated with scarring. They can occur anywhere along the length of the urethra. They are often caused by trauma from instrumentation, stones, infections, or may be congenital. They present as difficulty or pain with urination, with obstructive symptoms like weak stream. Treatments include dilation, urethrotomy, and urethroplasty. ...Read more
My take is ...: Urethral stricture may manifest with slowly progressive decrease in urine flow over a long duration - years or decades, result from prior injury - instrumentation / trauma or inflammation / infection - STD, may have urethral spotting or superimposed UTI, and taking alpha-blocker like its use for prostate will not improve its related poor urine flow. More? Ask urologist timely. ...Read more
Many causes. : A urethral stricture is a narrowing of the urethra, causing urinary difficulties or obstruction. There are many causes. Injury to the urinary tract from instrumentation, pelvic fracture, or straddle injury are causes. Sexually transmitted infections, skin diseases such as lichen sclerosis, congenital abnormalities such as hypospadias, and radiation therapy for cancer are potential causes. ...Read moreSee 1 more doctor answer
Traumatic, infective: Following urethral surgey & rarely congenital. Strictures are narrowings of the urethra causing urinary obstruction of varying degrees. Can occur after straddle injuries or penile trauma. Post infectious strictures can develop from gonorrhea. Urethral meatal stricture or stenosis is the most common complication of neonatal circumcision & not uncommon after hyposadias & urethroplasty surgery. ...Read more
Symptoms/exam: Strictures usually occur after procedures such as cystoscpoy or foley catheters. Sometimes after recurrent infectionns too. Pts will find their urinary stream will be weak, takes longer to empty the bladder, feeling that you still have to go even after leaving the bathroom. Sometimes the stream in such pts is no longer a single stream but has two or three streams indicating scar is obstructing. ...Read more
Thanks for asking!: The most common symptom would be a consistently poor/weak urinary stream possibly associated with burning with urination or blood from penis. Previous urethral infection (such as an std) or trauma (external straddle-like injury or trauma from being catheterized or having an indwelling catheter) would be most common cause. ...Read more
Urethral stricture: There are 3 ways to treat urethral strictures: urethral dilation; visual internal urethrotomy; and open surgical repair. The first two are minor procedures and are usually temporary requiring repeated treatments specially urethral dilations. The open repair is major surgery but has a better prognosis and results. How severe is the stricture determines sometimes what needs to be done. ...Read more
- Talk to a doctor live online for free
- Surgery for urethral stricture
- Urethral stricture surgery recovery
- Urethral stricture
- Ask a doctor a question free online
- Urethral stricture in women
- Male urethral stricture disease
- Urethral stricture female
- Distal urethral stricture
- Talk to a gynecologist online for free