Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
| |
|
Subject: Re: Urethral stricture - post-surgery In 1990 at age 34 I was referred to an Urologist for a life-long problem of burning sensation when urinating, weak urine stream, and more recently, inability to start a urine stream. During a "cystoscope" examination, it was determined that I had scar tissue from an unknown trauma extending from very close to my bladder down my urethra approximately an inch. My urethral opening in this section of the urethra was approximately a pin head in diameter. A "dialation" procedure was unsuccessful. The next procedure was a cystoscope with a small razor which split the stricture, then a cathator (sp) was inserted which I wore for approximately 10 days allowing the urethra to heal around it in a larger diameter. When the cathater was removed, I bled for several days, but had minimum to no burning and a significantly improved urine stream. My question/problem is this: 1) At the conclusion of this procedure, I became aware of an 2) I am beginning to have symptoms of burning again, although Thanks for your advice. Dear Thomas Thanks for your question. Urethral dilatation is a procedure for urethral stricture disease. Urethral strictures are narrowings in the urethra secondary to long standing STDs, prior surgery or urethral trauma. Once a urethral stricture is diagnosed with cystoscopy ( a lighted telescope examination of the urethra) or a retrograde urethrogram ( a Xray using dye/contrast to fill the urethra) a surgical correction by a controlled incision under direct telescopic vision is performed in the operating room. Unlike dilation, the urethra is not stretched open and resultant scarring is less. Dilation is usually reserved for emergent / urgent need for bladder drainage when patients are in retention of urine with a distended bladder. Elongated instruments first the size of a spaghetti noodle is inserted into the urethra followed by successively wider instruments ( the size of a pencil). If stricture return after direct telescopic vision incision it has been recommended to proceed with open surgical repair of the urethral narrowing. More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians notes and lab test results that you may be able to obtain. These will help us greatly. This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. | |
