Penile strictures

Garry

My urethral stricture started to cause problems within three months of RARP. My surgeon is convinced it was caused by trauma when my catheter was removed.

I have about a dozen dilations and ok a couple of occasions had a small incision into the scar tissue. 

I did self dilation in between dilations in an attempt to keep the stricture open. Typically two or three dilations are quoted as being necessary to sort the problem. 

Four months seems a long time for the catheter, are you sure it is not 4 weeks. Under nice guidelines the catheter will need changing after 12 or 13 weeks. Have you got some instilagel or hydrocaine to ease any discomfort in the eye of the penis.

My flow rate at times got down to 0.5mls per second. I was going to have urethral reconstruction but other problems meant it was not practical. 

Thanks Chris

Edited by member 27 Mar 2020 at 15:53  | Reason: Catheter care

Hi Garry,

My stricture developed @14 months after RALP.  This was treated by optical urethrotomy but it returned about a year later. Whilst waiting for another urethrotomy, I went into retention and boy, was that painful.

Anyway, after an emergency urethrotomy the surgeon said this was likely to happen again and again and I was offered the choice of self-cathertisation (to keep the urethra open) or urethroplasty (where they basically rebuild that bit of the urethra with the stricture).

I chose the former and for me it's now a happy medium of self-cathertising once a week and achieving a reasonable flow.

You may well be offered the same choice.

Flexi

Edited by member 28 Mar 2020 at 09:57  | Reason: Not specified

Hi bill

They tried different catheters one I think was called a teemans.

Each time I was in A n E they managed to open me up enough to pass urine talk about winning the lottery 😅

But that only lasts a few days and then it starts again.

Cheers 

Garry