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Posibble urethra stricture

Posted , 5 users are following.

nick89747
nick89747

I do have a weak urine flow after the simple prostatectomy. Did anybody had these after surgery and how was treated ?

0 likes, 6 replies

6 Replies

  • glenn77
    glenn77 nick89747

    Posted

    Can we assume that there was no access through the urethra for you surgery? Was there a Foley catheter inserted during and post surgery? A catheter can sometimes cause strictures.

    • nick89747
      nick89747 glenn77

      Posted

      NO access through urethra for surgery. Two small incisions in belly.

      Catheter in for 3 month before surgery and 2 weeks after.

    • glenn77
      glenn77 nick89747

      Posted

      Nick,

      Having a catheter in place can lead to strictures. After a Green Light laser procedure, ended up with complex strictures in the region of the external sphincter. The sphincter could not fully close as a result, so I had high level leakage, and wore Depends (8-10 a day) for a year, and condom catheters and bags for another year. During this time, I had multiple procedures to try the resolve the strictures. A final procedure along with an AUS implant (artificial urinary sphincter) finally allowed me to be dry again.

      With the strictures, my flow was around 5 to 7 cl per second. (Only by staying on my back for awhile could I get the bladder to fill for a measurement.) Now, when I open the AUS to empty my bladder, it flows at about 35 cl per second.

      You may need to have a retrograde urethrogram (RUG) done to see if strictures are the problem.

      Glenn

    • nick89747
      nick89747 glenn77

      Posted

      Thanks for the answer.

      I went back to my urologist and he did a cyctoscopy and find out a 5mm stricture. Then I had a urethra dilatation under total anesthesia. Catheter was in for two days. It is been almost a week since cath. is out and flow is good.

      The only problem is the pain/urgency to move a bowel after each urination that last for 10-15 minutes, it goes away when I sit then again if I start walking the urgency to pee is coming out and the pain come back, and so on.

      Doc told me that this is normal and take some ibuprofen!!!!

      Did anybody has this before?

  • nick89747
    nick89747

    Posted

    simple is just when they shave the interior of the enlarge prostate. radical is when you have cancer and whole prostate is remove.

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