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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
Hey slrray254! I myself had a urethroplasty done back in January of 2012. So far the surgery has been a complete success for me. However, this surgery does come with some possible side effects. After my surgery my penis has shortened, along with not being able to use my penile muscle during an errection. Now nearly a year later I am just barely able to use these muscles. My Urologist had told me the muscle could possibly be permanentlt damaged. So this surgert does come with a pretty long recovery time frame.

My flow after getting the cathedar removed after the 3 weeks was extremely strong. It eventually faded out to becomming a "normal" flow once again.

Not going to lie, I was a bit scared to urinate for the first time after the cathedar was removed. But it all went smoothly, and no problems had/have occured since it was removed.

My best wishes for a quick a speed recovery go out to you.
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Avatar universal
Hello Timtalton,

I just recently had urethroplasty on 11/28/12.  I have been dealing with strictures for well over 25 years.  This has been a very frustrating problem to deal with.  I had a piece of tissue from the inside of my mouth used to help fix the stricture.  I really didn't have too much pain down below.  I have had more discomfort inside my mouth.  It is getting better every single day.  It's a little uncomfortable wearing this cathedar for 3 weeks. I can't wait for it to come off. I pray everyday that my surgery is going to be successful. In a couple of days I am going back to get the dye test to see if my surgery is healing.  Can you let me know how you have been doing since your surgery back in 2010?

Is your flow still normal?

Any post problems since your cathedar has been removed?

I have tried to contact via email several other patients with similar issues.  Nobody has responded back with updates.  Anything you can do to share your updates with me would be greatly appreciated.  Thank you.
Helpful - 0
Avatar universal
Hello Flowing Freely,

I just recently had urethroplasty on 11/28/12.  I have been dealing with strictures for well over 25 years.  This has been a very frustrating problem to deal with.  I had a piece of tissue from the inside of my mouth used to help fix the stricture.  I really didn't have too much pain down below.  I have had more discomfort inside my mouth.  It is getting better every single day.  It's a little uncomfortable wearing this cathedar for 3 weeks. I can't wait for it to come off. I pray everyday that my surgery is going to be successful. In a couple of days I am going back to get the dye test to see if my surgery is healing.  Can you let me know how you have been doing since your surgery back in 2011?

Is your flow still normal?

Any post problems since your cathedar has been removed?

I have tried to contact via email several other patients with similar issues.  Nobody has responded back with updates.  Anything you can do to share your updates with me would be greatly appreciated.  Thank you.
Helpful - 0
Avatar universal
Got a conclusive answer to my question from a senior urology doctor - the spiggot should not be removed and the urine will not be a problem for such a short period of time.

I hear that I've to get a pericatheter urethrogram in a couple of weeks - having Googled this it appears that an additional small bore catheter is inserted a few cms into the penis and dye injected under pressure to check for leaks - yikes, another catheter?  Is there any more room in there?  If no leaks, then they will remove the urethral and sp catheters.

Has anybody undergone this procedure and if so what was your experience like?
Helpful - 0
Avatar universal
I've just had the op for a bulbar urethral stricture.  Got an abdominal (sp) catheter draining the bladder and a urethral catheter which is blocked off and supports the buccal mucosa graft.  

I'm fine with the management of the abdmonial catheter that drains but am unclear, even after medical advice, whether its worth changing the stopper on the urethral catheter?  This would release any pooled urine but could increase the risk of infection.

I can see that either option poses a risk but would be interested in your views.
Helpful - 0
Avatar universal
Gentleman, I'm 36 yrs old.  9 weeks post-op.  Flow is great!  Erections...still getting used too.  Intercourse... i tried it tonight and could not ejaculate - WTH!  I've read some other posts and they have helped.  BOTTOM LINE:  I'd do this again.  I've been dealing with strictures for 20 years now.  I guess i just need to give it some more time.  Good luck to you all.  
Helpful - 0
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