urethrotomy

"hi, I had urethrotomy surgery 3 yaers ago, because my flow was slow. After the operation I had to use catheter every day. I been using that everday until last month. On 5th Feb 2007 (this month), I had the same operation again, because the doctor said there was no change in my flow. I had a permanant catheter for about 10 days on my first surgery. When I went back to have it taken out, the doctor said I need to use the catheter the same day, so they inserted the catheter even though i was in lot of pain. After that I used it ervery day. On my second operation which was performed by a different surgeon I been told different. I went back today after having the permanant catheter for 10 days. He took the catheter out and said every thing is fine. He gav me a prescription for dilatary catheter 16-18 to insert on a monthly bases. He also told me that I do not need to use it until 4 weeks. This is where I got confused, because the first sergeon said I need to use the catheter the same
day after the permanant catheter was taken out, otherwise the pipe will get narrow again. But this surgeon said not to use it for the first 4 weeks and then use it once in a month. I did ask him if I need to use it today, he said that if I do I will damage the tisues inside which was not good, which could cause permanant damage. Could you please giv me
your advise on my case and also why the surgeon have different method?? I am afraid that the surgeon made/making a mistake??Also where I can get more advise, because I am very frightend for my health. I look forward to hearing from you. "

[Lennox Hoyte, M.D.]

I would want to know how your diagnosis was made. Did you go in complaining of slow stream? or did your doctor diagnose you with voiding problems?

Was there a urodynamic test or voiding cystourethrogram?
Is your urine flow slow because your bladder muscle is not contracting adequately?
or is it that your urethral muscle is not relaxing to allow you to void? These are important questions, and each cause has a different therapy which might be helpful.

Perhaps you could supply this information, along with your age and list of prior pelvic surgeries, and your specific complaint?

[renu]

Sorry I forgot to write that I am a male 34 years old

[Lennox Hoyte, M.D.]

Sorry, This forum can only consider female problems. Please consider the Urology forum.