urethra blockage

[gayla158]

I am 47 year old married asian man .Long time before while doing my regular ultrasonogram my Dr. found mass of tissue in my urethra ,right at the adjoing area with urinary bladder at that time it measured 6mm wide and 12mm long. I did the Cystocopy and Doctor took sample of tissue and we did biopsy lab test in three different hospital and clinic and they said it is not cancer. Untill 3 months before I did not had any problem Urinating or feel like going to urinate or any Errectile disfunction. But now I am having problem with urinating and also have ED..Usually at the day time only I have problem with urinaton, I feel like I have not empty my bladder at one time ,so I have to go to bathroom almost every couple of hours or if I am taking any drinks like coffee or water within an hour I have to go.Normally at the night time I do not have such problem ,may be once in a while which I think it is not a big problem for me and that also happens most of the time when I could not sleep.Another problem is now I feel and see that I do not have that errection in my penis .It is just enough for to penetrate at the begining and after while 10 minutes later their is no errection. Before 4-5 years some time I use to have same problem and I just thought it may be I did not had enough energy so it happened but now I can feel and see it  that how it affects my sexual life.
  
   My question is what should I do? for the treatment, shall I go to Doctor and do again the Cysmocopy and remove the mass of tissue or is there any new and other method which is fast easy cure for this problem, like laser surgery.

[Vanessa Lacuesta]

Hi,

At this point, was a diagnosis established for your condition? I am thinking that what you have is a urethral stricture. Another differential will be a urethral polyp.

Urethral strictures may be diagnosed based on ultrasound. Surgical intervention is the gold standard for treatment of urethral strictures. This procedure is termed urethroplasty. There are two types of strictures the anterior and posterior. If your condition is a stricture, then management shall be influenced by stricture length. For those less than 10 mm in length dilatation and urethrotomy or surgical incision may be the intervention of choice.

Laser has been used in the intervention or ureteral and urethral strictures. You may discuss this with your physician as there are studies which showed  laser therapy to be safe and results to successful outcomes.

[gayla158]

I am sorry that I could not able to reply soon. Before my first cystoscopy lesion was 6 mm by 12 mm and after cystoscopy when I did again the ultrasound I found it 3 mm by 9 mm, at that time I did not had any problem with urination, yes some time when I am really urge to go for urination at that time urine use to split into two flow. But now I find it different, I have to go for urination frequently and their is no full flow coming out. Is it because of urethra blockage which also blocking the flow of blood that I see ED ? And my another question is, is their another option than cystoscopy like lazer?

[Vanessa Lacuesta]

Hi ,

I suggest that you should have a follow up consult with your urologist.At this point, a repeat cystoscopy may be able to help.The biopsy showed normal results however, your symptoms appear to progress and I feel that further evaluation is needed.

During the initial cystoscopy, was the lesion removed completely?

Your condition needs to be reassessed once more before any course of management is to be decided upon.