Urology Expert Forum
Uritheral Stricture
About This Forum:

Questions in the Urology forum are answered by medical professionals at Healthcare Magic. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Uritheral Stricture

My prostate cancer was cured with radiation but the side effects have been a problem.  For example, I am currently dealing with both retention and incontinence problems at the same time.  One Urologist performed a TURP to open up the system and considerable incontinence followed.  Also a uritheral stricture has caused a daily retention problem for me.  At least four dialations have been performed over the past six monthes and they help for a few weeks.  Then its back to self-cathing from 1 to 4 times a day.  I have also had several infections that have to be handled for my long term health benefit. My Uro now recommends a Urethrotomy where a couple of cuts will be made in the stricture to open it up (a 50/50 chance of success).  He also states that in order to have a chance of success he will need to cut into the area that controls urination and this will make me even more incontinent.  Further after about five months a determination will be made on the success or failure of the stricture surgery.  If successful they would then implant an artifical sphincter to control the incontinence. I have two questions:  Are aggressive approaches like this generall successful and are artifical sphincter's effective long term solutions?
Related Discussions
233190_tn?1278553401
Urethral strictures can be a difficult problem.  The success rate would depend on the experience of the surgeon performing the procedure.  

The artificial urinary sphincter is an implanted device designed to treat urinary incontinence. The most common complaint in men is incontinence following prostatic surgery (radical prostatectomy or transurethral resection). In patients with significant incontinence, the artificial sphincter is the only treatment with a reasonable chance of success.

Another consideration would be urethral reconstructive surgery.  In some cases, the urethra is reconstructed by removing the scar tissue and then suturing the ends of the urethra back together. When this is not possible, the urethra may be rebuilt using buccal mucosa (the lining of the inside of the cheek) or skin flaps from the penis or scrotum. Using these techniques, the urethra can be reconstructed in most cases with a long-term success rate of 85-95%.

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.

Kevin, M.D.
Medical Weblog:
kevinmd_b
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
563773_tn?1374250139
Bhupinder Kaur, MDBlank
Private practice
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
22 hrs ago by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank