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Urology (Expert Forum)
urethral stricture
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
urethral stricture
by thomsen, Jun 17, 2006 12:00AM
I had a very weak urin flow and went to the hospital for a cystoscope control in the hospital were the found a blockage close to the sphincter with only one mm hole. The did a operation with a cystoscope with a knife in but had a hard time get the guide wire into the bladder so the cut a small hole in my stomach and went this way with the guide wire. I was leaving the hospital with a catheter there was removed after 7 days and then I should be trained passing a catheter once a week for a suggested time of 3 months.
It was not possible to insert the catheter and was starting bleeding so the once again inserted a cystoscope, guide wire and passed a catheter along the guide wire.
I have no problem passing urine now and the flow is very high after the catheter was inserted and removed again, the bleeding is stopped so everything feels great.
The conclusion from another doctor in the hospital 4 days after was, that the will insert another catheter with a cystoscope (should be done next week) so the don’t damage the new cut again, and leave it for 4 weeks so it can heal completely before removal. He say that I will keep on damage the cut every time I try to insert a catheter and it need to be done during healing or it will close again.
Is that procedure right or would it be possible to keep the wound open during healing by inserting a cystoscope once a week until is healed so I don’t need to wear the catheter? (that would make me happy)
Is it after your opinion the right treatment I get or would a laser operation(or other procedures) be better?
I been operated for the same 10 years ago but I had closed up slowly.
Best regards
Thomsen
It was not possible to insert the catheter and was starting bleeding so the once again inserted a cystoscope, guide wire and passed a catheter along the guide wire.
I have no problem passing urine now and the flow is very high after the catheter was inserted and removed again, the bleeding is stopped so everything feels great.
The conclusion from another doctor in the hospital 4 days after was, that the will insert another catheter with a cystoscope (should be done next week) so the don’t damage the new cut again, and leave it for 4 weeks so it can heal completely before removal. He say that I will keep on damage the cut every time I try to insert a catheter and it need to be done during healing or it will close again.
Is that procedure right or would it be possible to keep the wound open during healing by inserting a cystoscope once a week until is healed so I don’t need to wear the catheter? (that would make me happy)
Is it after your opinion the right treatment I get or would a laser operation(or other procedures) be better?
I been operated for the same 10 years ago but I had closed up slowly.
Best regards
Thomsen
Doctor's Answer
by Kevin Pho, MD, Jun 17, 2006 12:00AM
, Jun 17, 2006 12:00AM
It is difficult to give an opinion without evaluation.
I agree that a catheter should not be tried until the urethra can appropriately heal.
I cannot recommend other courses of action over the internet (not enough information). I would suggest obtaining another urological opinion to explore other options.
Another consideration would be a more permanent catheter (i.e. suprapubic catheter) that can be used as the urethra heals from the prior procedure.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I agree that a catheter should not be tried until the urethra can appropriately heal.
I cannot recommend other courses of action over the internet (not enough information). I would suggest obtaining another urological opinion to explore other options.
Another consideration would be a more permanent catheter (i.e. suprapubic catheter) that can be used as the urethra heals from the prior procedure.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments
by brians2000, Aug 06, 2006 12:00AM
To: Urology - General
0
