It can take two or three dilations to sort the problem and you may need a small incision into the scar tissue but that can comprise the continence for a while. It normally took about 12 weeks post dilation for the flow to drop to about 0.5ml/sec. A week after catheter removal seem a very short time for the scar tissue to regrow, it could be swelling from trauma of catheter removal. Was it s urologist who used the camera. A catheter will cause spasms to the bladder and you may get bypassing where urine comes past the catheter and out of the penis, keep it all clean. You can can get anti spasm meds to ease the problem.
I have had about twelve dilations and also had three hem o lok clips migrating into the bladder and bladder neck. If you had the camera into the bladder they should have seen any clips, assuming they knew what a clip looks like. Clips are normally used in robotic surgery.
Soreness at the tip of penis can be helped with a generous squirt of instilagel or hydrocaine down the side of the catheter. An infection can also cause pain at the end of the penis, available at chemists for £2-3.
There is one of our members who has a flow rate of around 5mls/sec and copes with it , 20mls/sec would be an average normal flow.
I also performed intermittent self dilation in an attempt to keep the stricture open.
Edited by member 20 Apr 2020 at 21:55
| Reason: More info added