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Urethroplasty patient experiences/updates

Dear All,

I've recently joined medhelp looking for some insight into patient experiences regarding their urethroplasties.  I've noticed that many on medhelp have had this procedure done and would really appreciate some feedback.  I've been diagnosed with a 1-2 cm stricture (urologist says retrograde urethrogram isn't 100% accurate in predicting lenght of stricture) in the bulbar portion.  Now i'm scheduled for a possible urethroplasty (probably anastomotic) in december and would like to learn about how patients who've had this procedure done are doing.  My questions are:

How did you feel immediately after the procedure?  Pain, discomfort

How long were you bed bound after the procedure?

How cumbersome was having the catheter placed for 2-3 weeks?

How long did it take you to return to normal life activities?

How is your urine flow NOW compared to prior to surgery AND compared to just after surgery?  Any dribbling, any other issues?

How is your sexual function NOW(e.g. penile sensitivity, ejaculation speed, retrograde/stasis of semen)?  Did anyone have any sexual dysfunction that slowly resolved?

If you've had the anastomotic urethroplasty (where the diseased portion is excised and the remaining portions joined), have you ever felt any tension in your penis during an erection?

In what area of the country did you have the procedure done? ( you don't have to answer this, I'm in the nyc area and am getting it done there)



I know i've asked a ton of questions but I'm just anxious about this procedure.  I'm sure most of you can understand the anxiety.  I've never had any procedure done before.

If you don't feel comfortable answering here, feel free to send me a private message.  I eagerly await all responses.

Thanks and God Bless!!
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Avatar universal
Just had a Urethroplasty without the graft from my check left hospital on the 14th April 2015. This is a quick guide noticed the bruising just as I left hospital asked the doctor he said that was common that's a joke my willie and balls went black and the bruising looked like they used my willie for knocking nails in so don't panic about that.The catheter is a horrible tool I am getting blood and gunk coming out of my eye off willie which sticks to my pants which is soooo painful so don't panic about that.In the catheter you will get small blood clots in the tubing which makes your wee look really dark but just keep drinking plenty of water and just flush it all out as long as it's only now and then and not constant so don't worry about that.It bleedy hurts 6th day now still bits of blood still feels like horse kicked me in balls but make sure you take pain killers I got some tramadol and codeine just paracetamol is not enough. And don't worry when you get a erections in the morning they bleedy hurt so don't worry about that.PS don't listen to people saying that your penis is small and you can't get a erections all rubbish if you read this rubbish you will start thinking this so let it settle down then get out there and give it some proper banging all the best people keep smiling.
Helpful - 0
2 Comments
How are you 1 year on? I've just had mine 3 days ago!
Please tell me ykir current condition as i have to go through urethroplasty soon
Avatar universal

Also my doc recommended using vacuum erector device to stretch the penis as it helps a lot to stretch the urethra. You may do it two months after surgery (15 minutes, twice a day). In some cases penile extender may be used, but you should do it very carefully not to damage the urethra (better to consult your doc).
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Avatar universal
Hi all! I'm from Russia and had urethroplasty done about 5 years ago when I was 30 (the urethra was badly injured by a catheter in Moscow). I had a long stricture about 15 cm from bulbar section to penile included.
I underwent the surgery on march 2010. In fact, the doctor decided on a combined method - the penile urethra was mended by penile graft and the bulbar urethra by buccal graft. I went to Israel for that and met a very trained and experienced doc. He is a professor and the Head of Urology Department in Jerusalem Clinic. His name is Professor Ofer Z Shenfeld. By this time he's done over 1000 urethroplasties and though he confessed that every case is quite complicated, no matter, whether a patient had a short stricture or a long one, I should say that he did an excellent job regarding my case (though now in five years after I have a small restricture about 1 cm in the bulbar part).

Right after the surgery that had lasted about 9 hours I had no much pain anywhere, but in my mouth. I was taken home on the 5th day. I should say that the most annoying thing was the night erections and orgasm with the sperm leaking out while the catheter was in - I couldn't sleep at nights.
The numbness in the scrotum didn't trouble me much. After I was relieved from the two catheters I started urinating very well, but one thing I was worried about is my penile length - in fact it was half length while erected as compared to the length before the surgery. But be sure, that in several months you'll have exactly the same length as you used to have before (the doc also said that end-to-end may shorten the length for the rest of life, but oral graft urethroplasty is most unlikely to affect the length). At least, in my case. Everything came back - the length, the angle. The quality of my sexual life is the same as compared to it before the op. By the way, my girfriend is now pregnant, so it doesn't affect fertility. But one thing I miss very much - the sperm only leaks out when I have orgasm. Still I got used to it. Now I'm scheduled for another urethroplasty to fix my small restricture in the bulbar urethra, but not afraid of it as I trust my professor and know him to be very efficient.
He also said before the op that these kind of surgeries should not affect your phisycal erections for better or for worse, at least in case of anterior urethroplasty.

Hope, I somehow helped you sharing my experience.
Be well.
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2 Comments
Hate to ask this but my surgeon, nor could the internet provide me with an answer to my question. I was wondering how soon after getting the catheter removed can I masterbate. I had urythroplasty where skin from my cheek was not needed. My urythra was only stretched the distance. Any advice on when I can masterbate or have sex?
I am a 18-year-old Malaysian.My circumstances is same with you~the night erection make me could not sleep at all while the catheter is in~I underwent the urethrotomy and will get out the catheter next week.The main cause against my urethral structure was the catheter insertion while I underwent an emergency surgery.By that times,I was a 12-year-old boy and underwent the urethroplasty surgery.By now,it comes back.May I ask that how you care for your renal system?
Avatar universal
Hey guys.. Seriously need your inputs for my queries. Im 27 yrs old. I had anastomatic Uro plasty 2 months before. After 5 weeks of surgery I tried mastrubation..and got normal erecton..but my erected size reduced by 1 inch..n ejaculation force got reduced..
So I did mastrbn 3 to4 times hardly in tht month becoz I m waiting fr complete recovery..

Now it's worrying me a lot tht m facing ED now, no morning erections, m facing very hard time in getting erection.
Need yo guys experiences on ED.. Whether u faced this, if yes..its got better by time ..n how long it took to get normal sex life..
Thanks in advance.. Appreciate your inputs
Helpful - 0
Avatar universal
Hi i had sex to early after my urethraplasty i had sex the day after i got my superpubic catheter out and i cant get erections and my penis also is very sensitive at all anymore. The reason i had sex so early is because i was really high on painkillers and misunderstood what my nurse said and it was 4 months ago this happened and i thought it was something that would get better but it hasnt (ive been masturbating once a day hoping it would get better.) Im not really sure what to do if i wait will it get back to normal and i will get erections???
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Avatar universal
This is such a helpful thread, many thanks. I'm 44. I had a urethrotomy eight years ago and just underwent my first dilatation, which looks like will be a $9k failure. My urine flow is better but there is still spraying and the high frequency of urination -- my biggest problem -- hasn't reduced. I'm wondering if I should go right into another urethrotomy or just do urethroplasty. The stricture is apparently 2mm, which I guess qualifies as small. I'm not sure of location. Some questions for anyone who can help:

1.) How many urethrotomies did people have before they did a urethroplasty? What was the diminishing return with each successive one? When did you throw in the towel and just do the full surgery? What do you recommend? My health is good.

2.) Did successive urethrotomies create complications? I've read that scaring can be an issue but am inclined to keep doing the procedure as long as possible provided it buys me a decent chunk of time.

3.) Any recommendations or advice with self-cathaterization? I'm now signed on to do this process weekly for the rest of my life presuming I don't opt for urethroplasty.

I really appreciate everyone posting here. This is not an easy subject to broach with people, obviously, and doctors can talk about this faster than what my brain can absorb.

  
Helpful - 0
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