Urethroplasty

[Raj456]

Hi,
I have a urethral stricture of about 4-5 centimeter long.
Doctors suggested me a Urethroplasty where they would replace tissue from my mouth.
Since i have never had any surgery done, i am worried about the risk involved and the success rate (especially in my case as they told me my stricuture is relatively longer).
Any suggestions.
Thanks
Raj

[jackoneill]

Thats good to know.  I live in DC so VA beach would be closer than Irvine, CA but Gelman seems to be the best so I think I will fly out.  Also, he stresses that he is aware that a cysto can cause further trauma and he knows how to cysto without worsening the stricture.  4 Uro's in DC area told me - there is infinitely, virtually no risk of any worsening trauma from doing cysto - something Gelman confirmed is COMPLETELY WRONG.  If a uro responds that way, run and find someone else.

Also - re: stricture in first place (I've not yet actually been diagnosed) - can it be stricture if the symptoms seem to come and go?  Sometimes it seems like crap getting started, like it's pushing through a very narrowed urethra.  Other times, it feels completely normal.  Does this rule out stricture at all?  Could it be stricture, and it's just starting to narrow to the point that it's problematic for the first time, hence why sometimes its ok?

Also - important: I started wearing boxer briefs as opposed to boxers for the first time since I was very young, after I developed these symptoms, because I feel that the added support helps with comfort.  However, my **** sticks to my balls way more.  A general (clueless) male question (kind of trying to come up with alternative explanations to stricture) is then: do guys find that if they do not "unstick" their **** from their balls, that this makes starting urination more difficult?  Trying to determine if this could be a cause/aggravating part of my symptoms, as opposed to stricture.  Maybe my **** is just always stuck to my balls, and this is why it's so hard to pee (I've been so paranoid about stricture and the pain in general that I avoid using my hand to guide/unstick my penis).

Thank you for anyone that can share their experiences.

[kevingoc33]

Dr. Mccammon in virginia beach is very good. Had mine done almost 3 years ago with no problems since.  Insurance did cover all of it.

[jackoneill]

"how is it good at it" lol I meant "who is good at it"

[jackoneill]

It is indeed impossible to find a listing of how is it good at it int he US.  I believe this is because it is so high-skill, so many uro's SUCK at it, so they are threatened by it and still recommend stent and incision.

Joel Gelman at UC Irvine (Center for Reconstructive Urology) is excellent.  I know of no one else.

Does anyone know how much it costs?  I'm guessing insurance won't cover a penny.

Also - was everyone here diagnosed with a cystoscopy?  Isn't there a risk that cysto worsens/causes stricture itself?  I'd like an alternative diagnostic procedure.

Thank you, I hope people still visit here.  Really bad lack of/misinformation on this on the internet.

[Luvingmimi]

Where do you find the top doctors on this procedure?    I have tried but nothing is coming up.    I will go wherever I have to.    Oklahoma, Missouri and Texas is our closest locations.    I want someone that has performed the procedure a lot and is well educated in it.   Please help.

[ajju_aaryan]

HI im Aaryan,24...im from bangalore(india) and im also one of them whos suffering with stitcher urethra..i had got stage1 operation in the year 2009 and from tat time ma doctor has adviced me for daily self catheterisation... i perform self catheterisation on each n every day with safety n precautions.. once im done with it i vill have a peacefull day at work.. but f i dont perform for one day the next day i vill be having problem in the urine flow, burning sensation and the urinary tack size would had got reduced.. I'm fed up of ths daily catheterisation since i dont have that peacefullness of travelling or working in other city bcz i should keep ma kit wid me ... Recently i visited a doctor in Manipal(senior urologist) who gave me few tests n asceding urethrogram.. i did with the test n my doc found that i have stitcher ranging from 3-4cms.. he has given me a option of getting it operated by ursoplastic surgery or perform daily self catheterization... i juss need u guys to help me out frm ths n telme whch can be more helpfull for me...

1.After uroplastic surgery will i hav any sexuall problems???
2.Should i perform self catherisation after uroplastic surgery???
3.Can i manage ma life without surgery n daily self catherization???


Guys pls help me out with this.. im very much depressed in ma life.. i dont wanna end up ma life at ths early stage bcz of deppression.. pls help me out ....

[krish3]

hi ajju, did you go for surgery?how was your recovery.