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Confused! Prostate, Bladder, Stricture Problem??? Part 1
Doctor Kevin Pho (and anyone else who may have had similar issues),
I am very very depressed and frustrated because I can
I am very very depressed and frustrated because I can
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MEDICAL PROFESSIONAL
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.
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