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Hi,
I really hope someone can help me here. This site has helped me tremendously. A few months ago my husband suddenly fell ill with sepsis. After many scans of his body, they figured out he has a diverticulitis off his bladder, and then he mentioned how he has had trouble urinating for the past 4 years. it takes his a while till the pee comes out, it’s splayed, weak stream, and he always feels like he has to go back to empty after. he saw a urologist who sent him for a VCUG to diagnose a stricture. the test was awful. the catheter fell out 5 times. finally they clamped it in. he said it was beyond painful. since that test, things have taken a turn for the worst. his penis hurts him. he can’t pee well. it’s painful. i feel like the VCUG messed him up. we don’t know the exact diagnosis, but we know he has a significant stricture in the bulbar area. we are seeing the urologist in 2 days. i am freaking out. we are young and would like to have more children. i don’t want to mess with his penis and fetility. i’ve read very positive outcomes about a urethroplast regarding peeing, but not regarding sexual function. it seems EVERYONE has permanent issues after, in terms of size, bending the wrong way, ejaculation problems and ED. and no one has mentioned fetility.
SO if anyone can shed light on those issues, that would help. And if anyone can tell me if they’ve had issues after a VCUG, i would be grateful. Thank you!The VCUG isn’t a fun test, that’s for sure. It takes quite a while (several weeks) for the inflammation to go down sometimes. It will though, the penis is rather resilient when it comes to healing.
As for the sexual function after a urethroplasty, it’s rare that there’s any long term problems with it these days. A good surgeon will know how to avoid the nerves that can affect erections. Much of the problems that occur after surgery in terms of curvature and ED go away after the tissue has fully healed, which can be anywhere from 3-9 months in most cases. Penile strictures have a higher chance of slight curvature being permanent, but bulbar locations causing it are very uncommon with modern techniques.
Ejaculation problems are rare except in cases of previous prostate surgery or radiation, but that has little to do with the surgery, and more to do with what caused the stricture in the first place.
Over 90% of surgeries have a complete cure, without permanent side-effects.
Clayton
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