Scar tissue at tip of penis, use of spigot to dilate
Posted , 6 users are following.
I had a bladder neck incision on 9th October, but had terrible problems post op mainly as a result of catheterisation. I wasn't able to pee at one stage and after a couple of 'office' dilations, I was admitted for cystoscope and dilatation on 20 November. I can pee ok now, but have been given a spigot to place into the tip of the penis once a day for a month. I find this quite sore and it's now drawing blood each time - is this normal? Thanks
0 likes, 20 replies
donna53699 shaun08542
Posted
I'm glad to hear that you are peeing ok which means the bladder is emptying.
I imagine that the spigot is to prompt the bladder to pee.
If you had the bladder neck incision,
The bladder neck is where the bladder will spasm and send the signal to the brain when you need to void. I would think that this is normal since the bladder neck was cut and needs to heal and may not be sending the signal which is the reason why ou have to do this once a day for a month.
Also, the blood would be normal since it is helping you pee but the pee is passing right across the incision so the incision would not heal as quickly as an incision, let's say on the outside of the body.
I'm sure it's uncomfortable. Being a male, the urethra is longer, and it is notably more painful for men to cathterise.
I would stay strong, and continue to do what is necessary so you can empty the bladder and retrain the bladder to do what is intended to do.
Feel free to respond. may all of this work out for you. I am sure that this has been painful for you and not something that you feel you can tolerate, but you can.
shaun08542 donna53699
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Dudley71081 shaun08542
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I'm sorry to hear about the problems you are currently having and can relate to them quite definitively. I had a urethra widening mini -TURP and a BNI in February. Urinating was made easier for nearly three days only, by way of the procedural dilation. But then almost immediately thereafter, I developed a stricture about 10mm long at the distal end of the urethra.( I e near the penis tip ) that sent my urine all over the place as flow waxed and waned during voiding. A most demeaning experience but one which with a little ingenuity I learned to manage hygienically. Being a Public Pt. I naturally had to wait to see my Urologist but after dilating me he provided me with a spigot. Actually a few of them because they come attached to a syringe of Lignocaine. What I was instructed to do is insert the end of the syringe and inject a small amount into the urethra. This dulls the pain and then I can apply the spigot as a dilator for about 15 seconds. I find this to be a useful ongoing management procedure but it needs to be practiced almost daily as its therapeutic effect quickly wears off.
Carrying it out without Lignocaine however is I know, a severely painful, debilitating and counterproductive experience.
Regards
Dudley
shaun08542 Dudley71081
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Dudley71081 shaun08542
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How's it going? I push my spigot in about 15mm and this creates, because of the broad taper, an opening of about 8mm to 10mm at the tip. I do not try the procedure without first applying a v small amount of lignocaine gel to the urethra from the plastic syringe, which itself is about 2mm wide and goes into the urethra about 8mm. Anything less and the gel will not bi-pass my obstruction into my urethra.
In my case I think daily would be too much and less than twice a week too little.
prashantpatel shaun08542
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shaun08542 prashantpatel
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test26403 shaun08542
Posted
Hi guys,
I have a stricture on the shaft and then I have a deeper one near the prostate/bladder caused by previous catheterisation.
After dilations that lasted about 3days each time, I had the scar tissue cut about 7months ago. After the catheter was removed, I was instructed to dilate, with a disposable lofric catheter, daily.
I know your pain, following surgery- any home dilation is very painful but keep with it, it gets easier VERY quickly.
The pain was pretty intense for the first 7 days of dilating and then eased off pretty quickly. I would take co-codamol before dilating and that helped a lot (maximum of 14 days from op and then no meds needed). Still, your pushing through a new wound and it will hurt.
Just keep going and know that it gets a LOT easier. There is not really any pain now (a bit sore if I forget to dilate for a week) and it takes me around 5 mins.
After a few weeks, I'm sure they'll tell you to reduce this to weekly (I do it twice a week) and then you should be able to keep the scar open for decades.
once you reduce the frequency from daily the soreness will go very quickly.
trust me, there is nothing to fear with ISD.
make sure you get the right kit and there is nothing to worry about!
However, I would speak to your doc about the blood (in case of infections etc)
good luck
test26403 shaun08542
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shaun08542 test26403
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I can't imagine having to put a catheter into the bladder every day, I had horrendous trouble at hospital because the Dr couldn't get one into me!
Dudley71081 shaun08542
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You've asked about my prognosis ? Well, just yesterday, I had an operation to remove a small tumour from the distal end of my urethra. ( apparently in certain instances the urethra can throw up a tumour subsequent to trauma, and in my case it did so . But I hope not in yours.).
I've had a few GA's in the last five years and so this time was given, very expertly, a spinal anaesthestic. Catheterised overnight. Very little bleeding and allowed home this morning.
Again unfortunately, the treatment of strictures is by way of their aetiology, life-long. The gel should enable you to gently and cautiously insert a tapered spigot to create an opening 8-10mm wide at the tip.
shaun08542 Dudley71081
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Dudley71081 shaun08542
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in the meantime, the only management tricks I discovered are ...( if only this wasn't so damned Pulic and embarrassing ) ... : 1) whist seated, lift up your stomach in the region above the pubic bone and below the navel. This can also be done standing. 2) don't abandon the effort to pass water, if the circumstances are not pressing. Although you may have diminished sensation, there can still be an almost imperceptible flow. And I reckon that every drop out is one less in and the risk of infection thereby lessened. 3) at the end of a bath you can try and relax and let the bladder empty. A 2 ltr jug can then be mixed to sluice off as needed. A disinfectant/ bleach such as Domestos then keeps everything sweet. Same applies to showering. 4). At night I have an empty sterile capped 2 ltr container which I use as needed. This process need not disturb your Partner . All necessary hygiene precautions are taken in the a.m. I use this method during the day if I'm having a particularly bad time. 5) if you have time to do it, try stretching out your penis by holding what's left after circumcision and pulling gently but firmly and holding for 5-10 seconds with one or two repeats. This actually works. If you are un-C, it should be easier. 6) a warm hot water botel placed below abdomen is also helpful 7) hydrate well.
thats all I know.
Good luck Shaun, hopefully some of the above will help. I am now going to hiang my head in shame realising that my humiliations are now public and floating around the Universe in cyberspace forever.
But then I think. - - - - it, it's not my fault !
Dudley71081
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Dudley71081
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shaun08542 Dudley71081
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Dudley71081 shaun08542
Posted
Strictures can and do reoccur. Hopefully yours won't.
Anyone else's subsequent experience can have absolutely no bearing, on yours.
I would respectfully suggest it is time now rather, to give thanks for the relief you have obtained, to stop worrying and to stop trying to guess the future.
Live a bit.
Regards
Dudley
shaun08542 Dudley71081
Posted
Best wishes
Shaun
art25052 shaun08542
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Art
shaun08542 art25052
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Well basically i had my 2nd urethrotomy on 4th June, at the local hospital. I was put under (GA) again this time and overall the Op was very straightforward. I was discharged the same evening. My consultant said that the scar tissue was less this time which was positive, but that i should not self dilate post Op on this occasion, as he wanted to see if things settle down. So far so good, although over the past week I have started to feel a little resistance when I pee. I'm worried it might be growing back again, which is definately not what i want!! The consultant had said that if this happens again, i may need to have a urethoplasty. Obviously this is a much bigger deal, and I've read about some of the side effects which, particularly at my age (45), is worrying to say the least. Although its also said that Urethoplasty has a much higher success rate.I would discuss success rate of urethrotomy with your Dr too. Best of luck!
Shaun