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Urology (Expert Forum)
Narrowing and loop in uretha
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.
Narrowing and loop in uretha
by Hillers, Sep 14, 2004 12:00AM
Following a recent uroscopy!! ( where a small camera was used to examine my bladder area) the urologist has told me that I must self catheter for the rest of my life to prevent my uretha from closing. There is also apparently a loop in the uretha that retains urine each time I use the toilet. Only the catheter will clear it. When I asked if it was possible to repair the uretha he very quickly said no. I am only 55 and do not want to look forward to having to use a catheter for the rest of my life. Is any form of surgery or repair impossible or possible? Are there other options that could be considered? Using the catheter often hurts and I presume that in the long term will only cause more damage.I am told that this condition is rare which may also explain my consultants attitude to my question about surgery.
About 25 years ago I had a colposuspension carried out which may be a factor in the problem I now have.
About 25 years ago I had a colposuspension carried out which may be a factor in the problem I now have.
Doctor's Answer
by Kevin Pho, MD, Sep 16, 2004 12:00AM
, Sep 16, 2004 12:00AM
There are several options to treat a urethral stricture. One would be introducing a stent to keep it open. Another would be a urethroplasty to remove the diseased portion of the urinary tract.
If these options are not feasible, some patients opt for a suprapubic catheter - which would allow the urine to be drained via the lower abdomen.
Before resigning yourself to a lifetime of self-catheterization or a suprapubic catheter, I would certainly obtain another opinion. Perferably, this can be done a major academic medical center near you.
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.
Medical Weblog:
kevinmd_b
If these options are not feasible, some patients opt for a suprapubic catheter - which would allow the urine to be drained via the lower abdomen.
Before resigning yourself to a lifetime of self-catheterization or a suprapubic catheter, I would certainly obtain another opinion. Perferably, this can be done a major academic medical center near you.
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.
Medical Weblog:
kevinmd_b
