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Urethrotomy - Urinary Flow

Posted , 4 users are following.

tees
tees

Hi all,

I had a urethrotomy a week ago for a bulbar urethral stricture. The consultant said it was a short stricture and was soft so when it was cut it pinged back and the urethra opened up nicely. I had a catheter in place for a week which was removed today. The catheter was no fun and I was in considerable pain the last 48 hours but put up with it as it would soon be removed. The only way to relieve the pain was to sit or preferably lie down, I'm guessing it was bladder spasms.

So I had the catheter removed and the relief was instant. For the next hour I drank more than a litre of water (and a cup of tea) and then relieved myself in a bottle and then was then scanned straight away to see how much was left in my bladder. They compare the contents of the bottle to the scan results and came to the conclusion that all was good and I could be on my way.

Everything was fine - no stinging and just a little pink urine. However, I was under the impression that my urinary flow would be much improved, but it wasn't it was worse.

I didn't see the consultant today, but I asked a ward doctor if there is normally a reduced flow just after the catheter is removed. He told me that it was normal and it would get better. 14 hours later and the flow doesn't seem to be getting any better - is it still too soon? I am also urinating quite frequently, but no more blood, and just a little uncomfortable in the bladder region. I have also been told I will have to dilate the urethra.

I'm wondering if anyone else has had this experience of a weak flow straight after a catheter removal after a urethrotomy?

Thanks for any comments.

/tees

0 likes, 3 replies

3 Replies

  • bert33901
    bert33901 tees

    Posted

    Hi,

    I have not had a urethrotomy but had a foley catheter in place for a week after my Urolift procedure. It took a while to attain a strong flow (weeks in my case). Irritation to my urethra was exacerbated by a longer than usual procedure due to a misapplied staple and attempts to remove it. As a result my urethra was inflamed and unhappy. Sounds like yours is too. The combination of the catheter and urethrotomy in your case would seem to explain the reduced urinary flow due to inflammation. I think you may need to measure improvement in weeks rather than hours or days. I know it is very frustrating. Hang in there!

    Bert

  • carlo86905
    carlo86905 tees

    Posted

    agree with Bert, I would check it in a few months, and do a quick flow speed test to also check how your bladder is emptying, that could also be an issue....

  • tees
    tees

    Posted

    Thank you Bert and Carlo, that's put my mind at rest.

    Bert's staple issue doesn't sound like much fun - glad they sorted it for you.

    All the best!

    /tees

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