4 days post urethroplasty

Posted , 5 users are following.

firstly apologies for any spelling as have had some painkillers and am perched awkwardly

Hi,

im 4 days post op and thought id share my experience so far.

I was due to have a mucosal graft for a failed urethrotomy last year, the strictures were on the bulbal section.

I cam round from the op with a nosebleed from nasal intubation and can remember the dr and the team tellingme the op went well and they didnt have to graft from my face , a quick poke with my tongue round my mouth and i passed back out again,

Surgeon came to see me and said he was amazed I could pass urine and no wonder i had been having trouble as the stricture ,although only a mm or so was so tight and diseased (im 41) they could barely identify an opening, it was also right on the entrance to the bladder bits with a diseased segment,so they removed this segment 10mm or so and the diseased section and sewed me back together.

He was genuinely pleased with the outcome and said I would be too and explained about the effects etc and that they had had to 'dig deep' to remove it.... ermm....

anyway that was good news, i was pretty ropey through the after effects but had good pain relief. am due back in 4 weeks , district nurse popping out etc....i wont go into the hosp care but ipaid for the use of the in hosp private unit who have an nhs bed scheme where you can pay for a private room but have nhs treatment, it was superb.

So ....pain...yes , camehome yesterday and catheter is going to be a drag for the next feew weeks but manageable, managed a shower and with the useof a mirror checked my wound was okay, my testis and penis look like a couple of aubergines, imassured thhis willgo down but is very uncomfortable. Wound site is clean, dull ache and a bit sore so am sat/laid downmost of the time in between shuffling round the house like johnn wayne. My advice to anyone, tight pants essential, keep those plums contained!!

I feel washed out, a bit 'oh god what have i done' but trying to keep positive as its early days....

Bowels..... i cannot emphasise enough that they need to get moving and withouth straining and blowing the work the surgeons done and the wound apart... they gave me  lactulose in the hosp which does soften the stools but with oramoprh and codeine onboard my bowels also needed a stimulant to get them moving, finally this morning and perched with one leg on the door of the bathroom and one cheek on the loo i had a moving experience which was impressive i almost thought it deserved a standing ovation, but settled for feeling a bit feint and sweaty , i know its early days but am so glaad its over, both me and my partner workin the nhs so the sensible infecton control , catheter cleanliness and wound care are all in hand. 

Im scared about the swelling and its got me down again today, so am laid on the bed now bit hazy with my feet and bum propped up and the aubergines under a coldcompress..... 

Any questions please ask and any help or advice welcome, ive read horror storys about wwonky willies andshortening so i shall be monitoring closely, i did ask the surgeon andd he said the area it was shouldnt affect anything long term. 

chris

 

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  • Posted

    How you doing now it's been 2 weeks? Iv been put on tramadol as cath was getting very painful and stopping me from even walking, tramadol is equal milligram for milligram as codeine but i think I was resistant to codeine, and tramadol seems to be more effective. Quite spaced out if i need to take the full 100mg haha, i try to only take one 50mg one and just bear any remaining pain.

    I think iv been either getting slight cath blocks, yesterday throughout the day I must of drunk over 2 litres, and the 500ml leg bag didn't fill up until 9pm, so far today iv only produced 500ml too, 6:20pm at moment. Iv drunk well over 2 litres. Haven't noticed any signs of bladder bloating up so either cath isn't draining properly or kidneys aren't producing much :S, they had taken a beating during the bladder contractions while I had the suprapubic catheter for 12 weeks, some contractions were strong enough to force urine back up and physically hurt and also infections were spread, I'll get checked on Tuesday when I'm there having cath taken out.

  • Posted

    Hello again, how's things?

    I'm getting my tube out tomorrow, gonna be painful haha, very sore, should only last about 5-10 seconds though so I'll just take a painkiller 30 mins before and grit my teeth lol.

    Has your swelling and things settled down?

  • Posted

    Oh boy that makes me a bit scared. My 27 year old special needs son needs this done l am so scared for him. I dont think he would handle that at all. Maybe time to think again and see if maybe can work out something else. I dont want to have to keep putting him through 3-6 month urethrotomys either. All because of a failed catheter for hernia surgery.

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