Roddy, just to add, I'm not in desperate state either, but in the past, seemingly innocuous problems have slowly morphed into serious problems for me, so I'm highly motivated in putting up with the pain for the short term.
Hi Roddy, I think you're in the same situation as me. You either have strictures or scar tissue from some activity, or you have dried mucus/semen that's preventing proper urine flow. I don't know what's wrong with me yet, but I'll give an update after the cysto.
I think you should see a urologist and have a cystoscopy or some similar procedure.
I'm also extremely scared by the thought of the procedure, but I think the end result (knowing what is actually wrong etc.) is worth it.
Jaw (and Vanessa), I have been having a similar problem although I'm not sure how suddenly mine came on or what caused it.
I can still urinate reasonably easily, but it seems slower than usual, sometimes sprays a little, seems very yellow and often leaves my bladder feeling unempty. In fact, if I go back to the toilet about two minutes later and relax my bladder muscles for another 5 - 10 seconds I can usually get out a few more drops.
I have been to the doctor and they took a urine sample which turned out normal and also put me on a 10 day course of antibiotics (can't remember the name) which doesn't really seem to have changed anything.
What should my next course of action be? I'm not in any sort of desperate state, I just feel uneasy and a little uncomfortable at times.
The idea of a cystoscopy scares me quite a bit.
Hi,
A urethral stricture is " a scar of the urethral epithelium (the urethra’s outside layer of cells) and commonly extends into the underlying corpus spongiosum (a column of erectile tissue that surrounds the urethra). The scar (stricture) is composed of dense collagen and fibroblasts (proteins that form cell-producing connective tissue) and thus contracts in all directions, shortening urethral length and narrowing the diameter of the urethra. Strictures usually do not cause symptoms until the urethra tube is below a certain size."
Source:http://www.urology.wustl.edu/PatientCare/UrethralStricture.asp
Treatment of certain strictures that only require dilatation may be done with the cystoscopy after a thorough evaluation of the stricture through ultrasound and cystourethrography . “Retrograde urethrography (RUG) and voiding cystourethrography (VCUG) dynamic contrast imaging is the best approach … to fully assess stricture length, location, caliber and the functional significance of the stricture. (Source:http://www.urology.wustl.edu/PatientCare/UrethralStricture.asp)
Discuss this with your physician as strictures are evaluated according to length and extent of tissue involvement .Management differs among the stricture types.
thansk vanessa! what do uros do to strictures though? is that a separate surgery? i'm a cysto under anethesia, so i'm wondering whether the strictures can simply get removed in the same surgery.
Hi,
The urine blockage appears to be sudden in onset. Management will depend on what the urologist will see in the cystoscopy. The cystoscopy itself may be therapeutic. That is if the blockage is just due to dried mucus or semen , then inserting the scope may help dislodge the blockage and offer resolution. However, if a stricture ( which is a differential in your case ) is present, then this may need further intervention.
I know you are worried about this. Are you on any antibiotics? It is important that a urinary tract infection is excluded prior to the cystoscopy. Discuss this with your urologist.