Recently had a Urethroplasty done..

[JacobxD93]

I recently had to have Urethroplasty done. I had a catheter in for 16 days, had it removed 3 days ago. Ive noticed that when i get an erection, it hurts to have it in any other position than down. As if the catheter was still in? Also (not sure what the term is) with the erection, i can no longer flex my tip of penis? And my last question, my testicle skin has been very painfull if touched, or moved. It is even stretched out as if they used a prop to hold em up. (im sure they did have something like that) will they become less stretched out over time? And why is my skin hurting? Will this also go away? My urologist didnt seem concerned. But then again he was in a rush to get to another call. He said it was because of the cathiter and would go away over time. Ive had a catheter in the past and neither of these were side effects then. Whats up with this?
~Thanks in advance

[daenval]

Hi Bernard,

I am scheduled to have BMG urethroplasty on December 10th, I to have a short proximal bulbar stricture (2 cm or less) and was advised that this was the better option even though my stricture is short because of the lower risk of sexual complications (doc says it runs near zero). Was this the same argument that your doctor used to support the use of a buccal mucosa graft? Did he place the graft ventral, doral or lateraly? Is pain still an issue today?

Hope to hear back from you.

Regards,

Daniel

[KenTheriot]

Bernard,

I had heard something like 6-8 weeks before resuming sexual activity. But since I'm still having pain 14 weeks later, and have an inguinal hernia to boot (surgery in 2 days for that), I'm still not back in the game, as it were.

Are you still having the scrotal pain?

Ken

[BBernard]

Ken, i just joined here. I had a Urethroplasty on 23/09/2013 on a 1.5 cm stricture and there was a buccal mucossa. The incision is now fine, the urine flow is big and impressive but there is some pain at the end of it. My Urology Doctor said it is because of the catheter ( removed a week ago). The scrotum is still tender and itchy.
In the mouth, the stitches are not yet eaten up by the skin as i was told by the Doctor.There is less pain there but i eat using one side.

Now, kindly help. From your experience, what is the recommended time to resume sexual activity once the catheter has been removed?

Thanks,

Bernard

[nick905]

Hi Ken,
Many thanks for your input - esp. pointing out that a decision to take buccal tissue might even be made during surgery ( but I think I'd have to pay for the guy who does that job whether he intervenes or not:~) I'm about to talk with y surgeon via FaceTime, as we are 7000 miles apart. He should have urethrogram pictures and a CD-ROM of the ultrasound exam I had here in HK.
It sounds as though your strciture was quite short, too, given that they didn;t use the buccal mucosa, so I guess  should expect a simelar length and degree of "afterburn".
I will come back on here to report my experience, sometime in Jan 14.
Best regards,
Nick

[KenTheriot]

Nick, The problem with urethrotomies is that they have a pretty low long-term success rate (somewhere between 33 and 50 percent depending on what studies you read). The general consensus among urologists these days is that urethroplasty is the gold standard for long-term success (reported at over 90%). But if your stricture is small enough, you may well not need to have a buccal graft. They don't always know for sure until they open you op and look at the urethra and stricture, but for end-to-end surgeries on small strictures, often no graft is needed. When I woke up, the first thing I did was run my tongue over my cheeks to see if they had taken tissue. They hadn't:).

Post-op experiences from several folks I've talked with and whose stories are in this thread report a pretty long period of time where there is lingering pain in the scrotum/testicles - likely due to the retraction during surgery. Almost to a man, folks said they were not warned of this. I am in that category also. If they have to take buccal tissue, I understand it is uncomfortable for a few days after surgery, but heals quite quickly.

My surgery was a great success in that my 10-week follow-up showed a very strong flow - the best in my life, actually. The doc also examined my testicles and surgical site (perineum) and said things were healing up just fine, and that my testicle pain was probably just due to the retraction and would go away eventually. But this was the 10-week point, so it has lasted quite awhile already. He recommended wearing a jock strap during the day, which I started doing over this past weekend, and I think it is working!

I hope that helps!

Ken

[nick905]

I was told by the first specialist I saw that given the very short length of my urethral stricture, a simple urethrotomy would suffice.Now a 2nd urologist, very prominent in his field, has told me the use of a buccal mucosal implant will give far lower chances of recurrence (I am 64). I have 2 questions:
1. Has anyone had either  procedure on a very short section of their urethra - interested to hear about post-op recovery experiences, &
2. What are the after-effects on the mouth (eating, drinking, hot liquids, etc.)  of having the mucosa extracted - I have not seen any commentary on that; does any discomfort disappear within a week? Or have people experienced lingering after-effects?
Any advice welcome.
Nick