My husband had his prostrate remove because of cancer with the robotic surgery.Well we found out why he has not been able to go to the bathroom well.His is self catherizing himself.It has been 11 weeks.By the bladder neck therew was some scar tissue.But the real problems is the tube where the urine is supposed to flow is push down with barely an opening for it to flow.It is collasped from where the pulled the stitches tight.Is it possible to put something there like a stint to keep it open instead of having surgery and trying to loosen where the stitches are?
Thanks for your question. The complication you are referring to is bladder neck contracture, usually the result of scar tissue encircling and narrowing the bladder neck. This is a common short term complications after radical prostatectomy. A diagnosis of this condition could be made by cystoscopy.
Outpatient surgery performed with a cystoscope can relax the contracture easily. The procedure would involve either cutting the scar or resecting the tissue around the scar which is also called TUI (Transurethral incision). Your husband will be using a catheter during the healing process. If the scar is more involved and longer, it may need to be removed in a more complex operation. I think the next step is to perform a cystoscopy and bladder function testing if that is an issue, then your husband and his urologist can discuss the options available. Your husband might also require AUS (Artificial Urinary Sphincter) or a Male sling to prevent excessive leaking after such a procedure.
Most patients getting treatment after bladder neck contracture, become continent within 6 months; therefore, you should not worry and discuss the treatment options with your husband's urologist soon.
My best wishes to you for the new year.
Ashutosh (Ash) K. Tewari, MD
This forum is for information only. The contents, such as graphics, images, text, quoted information and all other materials ("Content") are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual's medical condition. Users should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything read in this forum. The Weill Cornell Prostate Cancer Institute assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information which may be a part of the Content. Reliance on any Content is solely at the User's risk. This forum may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in forum to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements of the Weill Cornell Prostate Cancer Institute.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.