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Bulbar structure 2.5cm

Posted , 4 users are following.

jake12072
jake12072

hi guys, i am 27 years old, i have had a burning sensation when i pee for as long as i could remember , i had a urethotomy in feb 2017 with good results and it started to slowly come back and now here i am 2021 with a flow rate of 8ml/s

my stricture was 2.5cm proximal bulbar 9fr which is located 2cm below the rhabdosphincter.

i am from australia, ideally i would want to do the optilume procedure before going into a urethoplasty however only NZ and Canada currently offer this, i am happy to travel to nz but not sure which urologists offer?

also regarding my stricture and location / size is a end to end possible or a substitute?

i have 3 urologist appointments set for the next couple of weeks to get multiple opinions.

looking to hear for opinions here.

thank you everyone.

0 likes, 10 replies

10 Replies

  • hamza1995
    hamza1995 jake12072

    Posted

    Were you self dilating following your Urethrotomy? Do you have any urine retention now?

    • jake12072
      jake12072 hamza1995

      Posted

      no self dilation

      urine retention... i assume so given lower than normal flow rate and i need to pee multiple times a day..

    • schuyler13221
      schuyler13221 jake12072

      Posted

      just wondering something as i have been experiencing what i believe to be a stricture...i urinate at least every hour of the day and want to know the reason why urethral strictures cause frequent urination... is it because the stricture causes blockage which make it hard to fully empty the bladder or is it the stricture scar tissue thats just physically making you pee a lot?

      please advise, your input is greatly appreciated.

    • hamza1995
      hamza1995 jake12072

      Posted

      Were you not asked to self-dilate after Urethrotomy? Because self-dilation massively reduces chance of recurrence.

      1. 2.5 cm bulbar stricture cannot be fixed by end-end surgery. If it is done that way, you will suffer from a lot of post-surgery complications. Substitution is the only option.

      2. Optilume procedure should be be able to easily fix your problem, but there aren't good/feasible studies about its long-term safety on patients.

    • jake12072
      jake12072 hamza1995

      Posted

      from memory i didnt even have a catheter in post surgery.

      all reports i have seen mention self cath (cath in general) causes the stricture to become more pronounced.

      unfortunately im yet to find a urologist in nz that does optilume, can anyone shed some light?

    • hamza1995
      hamza1995 jake12072

      Posted

      Contact the customer support in their website. They will respond to your email in a few days. Ask them where this procedure is available in New Zealand. And btw, I think it is quite expensive there. Costing as much as 6000 NZD.

    • hamza1995
      hamza1995 schuyler13221

      Posted

      Do you have burning sensation when you pass urine? Does your semen feel blocked when you ejaculate? Share all your symptoms. I can give you a rough diagnosis. It could be bladder neck obstruction, enlarged prostrate or urethral stricture.

    • schuyler13221
      schuyler13221 hamza1995

      Posted

      theres no burning sensation and semen seems to flow out normally... the only concerning symptoms are the frequent urination and urine dribbling after urination...

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