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I had a complete urinary retention in late March after a year of typical enlarged prostrate problems. Saw a urologist who went in with a scope and said prostate was 2-3 times normal and bladder was like that of an old man though I'm in early 50s. A month later I had the TURP procedure which I don't want to debate since I already did it. At two week checkup after the TURP my urination stream was strong, only problem was it was very very thin. Another urologist I ended up seeing the next week tried to insert a catheter to see if there was any resistance and he was unable to and said from what he could see I had a stricture and was urinating out of a pin hole. He suggested a dilation procedure which I agreed to the next week, about 4 weeks after TURP. Had it done and he said keep catheter in for 4-5 days then he took out and said self-dilate for two weeks and that should do it. I did as instructed but now 3 months later, my urine stream fluctuates between just ok in width to sometimes very good in width. However, one day a few weeks ago, right before I was to leave in a trip out of the country, it got really thin again and scared me so I tried to self-dilate again and I could not get it in. The next day it was wide open urine stream but next few days it was narrow again. I tried once more to self dilate unsuccessfully. Other than that though, I have a strong fast urine stream, no pain, and I seem to completely void as far as I know. But I went back to the urologist and he again tried to insert a self-dilator and he also with considerable pressure could not do it past about half an inch. The stricture is about a half inch to an inch in the head of my penis. He is saying we need to do the dilation procedure again with a longer regimen of self-dilation afterwards (daily two weeks, then every other day, then every third day, then maybe weekly, etc). My concern is that I've had procedures putting things in my penis almost every month since April and everytime that is done, I think it just keeps the problem going. Plus it is not a cure and it will constantly recur. I could take re-doing it every couple years or so, but not every 3-6 months. The only high success rate cure I know of is a urethroplasty. That scares me though. Honestly the most scary is the weeks of catheter afterwards. Looking for others thoughts on these things or your experiences.
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