Urethrotomy question

[pastordanc]

Hello all:
When I was 8, I had a catheter placed in my urethra because of a coma due to an automobile accident. Evidently it caused some scar tissue. Fast forward 41 years and my urine begins to slow down. My GP checks prostrate and does PSA, everthing seems ok for my age, (I hate it when they say that)  He recommends seeing urologist. Couple of weeks later, I wake up and can't void. ER attempts 2 different types of catheters, can't get them in due to some sort of blockage and I am literally screaming in severe pain, almost passed out. They are about to call in a urologist whan I suddenly began to void, all over the bed, my editorial comment I guess, and I've been slow but ok since. Saw my urologist next day, emergency visit. Scopes me out, finds the scar tissue and has set me up for a "Direct Vision Internal Urethrotomy."
My question, has anyone else here had this done. How did it go? What should I expect? (I realize a bag for about 2 weeks) How was the success? From what I've read, there is only about a 33% chance that it will not require further treatment.
I don't know the exact extent, size or damage. He won't know that until he takes it out. The full cause for the emergency was the scar tissue compounded by the extreme urgency due to my love for coffee, per my M.D. Since then, I have grudgingly cut back to 1 cup a day and everything seems to be back to "quasi-normal". My surgery is for 10-6, although during pretest yesterday, they think I may have a urinary tract infection which may delay it.  Needless to say, I'm not looking forward to this.
Any input would be greatly appreciated.
God Bless....In HIS Service....Dan

[rmprdl1964]

Hi,

I did not have the same problem as you but had something simmilar.
At the age of about 23 I started having problems with restricted urine flow.
After several cystoscopies I received a 6 o clok resection of the bladder neck to remove some obstruction and I also underwent a TURP at the age of 30. I was the youngest male on the ward.

A TURP is a trans urethral resection of the prostate. Later in 1996 during a uro dynamics test for further problems, it was discovered that I have a neurogenic bladder. I have to use self cahterization for this.

To remove any obstruction a scope is passed through the penis into the effected area. A small hook in the scope is used to remove tissue.

After the procedure there will be some bleeding in the bladder and you will have an irrigation catheter in. Even a small amount of blood will make your urine look red. Your bladder is flushed with sterile water to prevent blood clots.
You might be discharged a day after the procedure. You also may experience some incontinenance for a time of healing, depending as to how close the obstruction is near any sphincters.

Have your doctors make sure that they have the correct diagnosis. Since I have a neurogenic bladder it might not have given me any benefit from the surgery.

Since the surgery had made a weak area in the prostate and due to self catherization, I developed a hole (fistula) between my prostate and rectum which causes UTI. Surgery to correct this is very difficult and does not garrentee good results. I have had an indwelling catheter since March of 2008 and the urologist wants to wait another 6 months to see how bad things will be to warrant surgery.

I hope that things will turn out Ok for you and that you will have a speedy recovery.

In Christ.

Ronald Rijken