Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Urology (Expert Forum)
Confused! Prostate, Bladder, Stricture Problem??? Part 1
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
Confused! Prostate, Bladder, Stricture Problem??? Part 1
by 2%, Jun 20, 2003 12:00AM
Doctor Kevin Pho (and anyone else who may have had similar issues),
I am very very depressed and frustrated because I can’t figure out what’s wrong with me. I’m really sorry for the incredibly long post, but there’s A LOT to explain. I am a 26 year old male. About 2 months ago (mid april) I had a colonoscopy to look for IBD (Irritable Bowel Disease) because I have severe IBS (Irritable Bowel Syndrome), and they wanted to make sure it was nothing more. But the problem is, that after that procedure, I had to keep going to the bathroom non-stop to urinate. When I finished, I would walk away, and still feel like I wasn’t done. The urine flow was weaker, I had lower back pain, and my left testicle felt sore. At first I thought it was just a side effect of the procedure, but when I was told by the doctor it wasn’t I looked up the symptoms on the net and found that prostititis was the most similar to my symptoms. I waited 1 week to see if it would go away, but it didn’t so I went to see a general physician. She said I was too young to have prostititis, but she did a prostate check anyway (yes, it’s embarrassing to have a female doc do that to me). She asked me if I had any leakage, and I said no, because up to that point I didn’t have any. Well, she was about to prescribe me Cipro, but then asked me if I was sexually active. I said yes but I really wasn’t, because I have never been sexually active. I don’t know why I said yes, I just felt embarrassed or something, and I was stupid. She asked when the last time was, and I said 2 or 3 years ago. Well, that’s when the fun started. She told me to take a swab test. She let me do it myself. When I went to do it, it must have been really cold or something because I had never seen it that small. But I stuck it in gently and then as I was pushing it in I felt like a wall and it hurt a lil so that made me stop, and I tried again thinking I did it wrong or something, but same wall. It didn’t go in the 4cm she said, but that was it for me. She then gave me Floxin to take for 14 days instead. Well, for the next 3 weeks my penis head hurt so bad (mostly felt like a prickly feeling). I got worried that I damaged it. It got darker and discolored (it was usually pinkish brown, but now it’s dark dark brown). The underside got black. When I masturbated and semen was going through the head it felt like rocks. I still had the symptoms of frequency and urgency to urinate. I made an appointment with Urology, but they didn’t give me an appt until late June, so I tried with another Hospital who got me in early June. And now, after I saw my general physician I always had leakage, when I didn’t have it before. Even if I felt I was done when I urinated, I would just shake and shake till it seemed I had nothing left, and right as I was walking away I would feel leakage. Or if I sat down, or shifted a certain way. It seemed more right after I peed than a long time afterwards......
I am very very depressed and frustrated because I can’t figure out what’s wrong with me. I’m really sorry for the incredibly long post, but there’s A LOT to explain. I am a 26 year old male. About 2 months ago (mid april) I had a colonoscopy to look for IBD (Irritable Bowel Disease) because I have severe IBS (Irritable Bowel Syndrome), and they wanted to make sure it was nothing more. But the problem is, that after that procedure, I had to keep going to the bathroom non-stop to urinate. When I finished, I would walk away, and still feel like I wasn’t done. The urine flow was weaker, I had lower back pain, and my left testicle felt sore. At first I thought it was just a side effect of the procedure, but when I was told by the doctor it wasn’t I looked up the symptoms on the net and found that prostititis was the most similar to my symptoms. I waited 1 week to see if it would go away, but it didn’t so I went to see a general physician. She said I was too young to have prostititis, but she did a prostate check anyway (yes, it’s embarrassing to have a female doc do that to me). She asked me if I had any leakage, and I said no, because up to that point I didn’t have any. Well, she was about to prescribe me Cipro, but then asked me if I was sexually active. I said yes but I really wasn’t, because I have never been sexually active. I don’t know why I said yes, I just felt embarrassed or something, and I was stupid. She asked when the last time was, and I said 2 or 3 years ago. Well, that’s when the fun started. She told me to take a swab test. She let me do it myself. When I went to do it, it must have been really cold or something because I had never seen it that small. But I stuck it in gently and then as I was pushing it in I felt like a wall and it hurt a lil so that made me stop, and I tried again thinking I did it wrong or something, but same wall. It didn’t go in the 4cm she said, but that was it for me. She then gave me Floxin to take for 14 days instead. Well, for the next 3 weeks my penis head hurt so bad (mostly felt like a prickly feeling). I got worried that I damaged it. It got darker and discolored (it was usually pinkish brown, but now it’s dark dark brown). The underside got black. When I masturbated and semen was going through the head it felt like rocks. I still had the symptoms of frequency and urgency to urinate. I made an appointment with Urology, but they didn’t give me an appt until late June, so I tried with another Hospital who got me in early June. And now, after I saw my general physician I always had leakage, when I didn’t have it before. Even if I felt I was done when I urinated, I would just shake and shake till it seemed I had nothing left, and right as I was walking away I would feel leakage. Or if I sat down, or shifted a certain way. It seemed more right after I peed than a long time afterwards......
Doctor's Answer
by Kevin Pho, MD, Jun 23, 2003 12:00AM
, Jun 23, 2003 12:00AM
Hello - thanks for asking your questions.
To address your concerns:
1) It's unlikely that the swab test could have caused your symptoms. A stricture or other anatomical problem (i.e. urethral polyp) is possible.
2) Ditropan should be ok to take with those other medications you mentioned.
3) Treatment depends on the size and location of the stricture. This includes urethral dilation with a stent or cystoscopic visual urethrotomy. Larger strictures would need more invasive surgeries. Sexual dysfunction after a procedure is possible but rare.
4) It depends on the cause. If the curve is due to Peyronie's disease (a hardened plaque of skin causing curvature of the penis), this is normally benign. Injections with steroids, surgery, and radiation therapy have all been used with varying success.
5) Complications of untreated urethral strictures can include complete inability to urinate or bladder stones. Untreated gonorrhea can lead to urethral strictures.
6) A urethral polyp or other anatomical abnormality may also cause changes in urinary stream. A cystoscopy is recommended for further evaluation.
8) Fecal incontinence can be a manifestation of a dysfunction of the anorectal muscle. If the colonoscopy was not revealing, anorectal manometry or an endorectal ultrasound can be considered to evaluate the anal sphincter.
9) If not already performed, a scrotal ultrasound should be considered to evaluate if there is any disease (i.e. epididymitis, torsion, or cyst) that can cause testicular discomfort.
10) Flomax is a medication that shrinks the prostate (in men who have an enlarged prostate). Typically, this medication will relieve an obstructive symptoms (such as urinary frequency, dribbling, or hesitency) caused by the enlarged prostate.
11) A cystoscopy should be considered to evaluate whether there is a lesion, stricture or mass that could be causing your urinary symptoms. If this cannot be performed an intravenous pyelography (IVP) can also be considered.
12) There have not been large studies examining many of the techniques found on the internet. There are several surgical techniques for penile enlargement that can be discussed with your urologist.
13) The band may be secondary to Peyronie's disease - treatment can be discussed with your urologist, but this can include surgery, injections with steroids or radiation therapy.
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.
Thanks,
Kevin, M.D.
To address your concerns:
1) It's unlikely that the swab test could have caused your symptoms. A stricture or other anatomical problem (i.e. urethral polyp) is possible.
2) Ditropan should be ok to take with those other medications you mentioned.
3) Treatment depends on the size and location of the stricture. This includes urethral dilation with a stent or cystoscopic visual urethrotomy. Larger strictures would need more invasive surgeries. Sexual dysfunction after a procedure is possible but rare.
4) It depends on the cause. If the curve is due to Peyronie's disease (a hardened plaque of skin causing curvature of the penis), this is normally benign. Injections with steroids, surgery, and radiation therapy have all been used with varying success.
5) Complications of untreated urethral strictures can include complete inability to urinate or bladder stones. Untreated gonorrhea can lead to urethral strictures.
6) A urethral polyp or other anatomical abnormality may also cause changes in urinary stream. A cystoscopy is recommended for further evaluation.
8) Fecal incontinence can be a manifestation of a dysfunction of the anorectal muscle. If the colonoscopy was not revealing, anorectal manometry or an endorectal ultrasound can be considered to evaluate the anal sphincter.
9) If not already performed, a scrotal ultrasound should be considered to evaluate if there is any disease (i.e. epididymitis, torsion, or cyst) that can cause testicular discomfort.
10) Flomax is a medication that shrinks the prostate (in men who have an enlarged prostate). Typically, this medication will relieve an obstructive symptoms (such as urinary frequency, dribbling, or hesitency) caused by the enlarged prostate.
11) A cystoscopy should be considered to evaluate whether there is a lesion, stricture or mass that could be causing your urinary symptoms. If this cannot be performed an intravenous pyelography (IVP) can also be considered.
12) There have not been large studies examining many of the techniques found on the internet. There are several surgical techniques for penile enlargement that can be discussed with your urologist.
13) The band may be secondary to Peyronie's disease - treatment can be discussed with your urologist, but this can include surgery, injections with steroids or radiation therapy.
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.
Thanks,
Kevin, M.D.
Member Comments (5)
by 2%, Jun 20, 2003 12:00AM
To: Urology - General
0
by 2%, Jun 20, 2003 12:00AM
To: Urology - General
0
by brian_73, Jul 01, 2003 12:00AM
To: Urology - General
0
by cpsc, Jul 02, 2003 12:00AM
To: Urology - General
0
by brian_73, Jul 09, 2003 12:00AM
To: Urology - General
0
