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I’ve had a urethroplasty where they used the perineal approach. I had a foley and suprapubic catheter, with the foley was simply to act as a stent/support while the urethra healed and the suprapubic was for drainage.
Both catheters were in for 14 days, and I had both catheters removed three weeks ago, and flow of urine is like a firehose and is better than I ever remember. So no complaints on that front…
However…
I’m a young guy (26) but since having my catheters removed, not only am I unable to obtain anything close to an erection, but my lust/desire to do so has all but vanished… I’ve googled around but can’t really find people who have had the produced where they went in via the perineum.
From peoples experiences, how long after having the procedure and the catheters removed were you able ‘perform’? I understand it can take months, but some people are saying years, and others are saying it never returned for them. People are also going on about losing up to two inches in length. This isn’t the type of thing you want to be reading on the internet when trying to find an answer!
My followup appointment isn’t until February so any reassurance before then would be appreciated.
Regards,
Sorry to hear about your problem, Readymade. My surgery used the perineal approach, which is the most common approach as I understand it. I did not, however, have any ED afterwards, nor any decrease in sex drive. There was some numbness that gradually went away as the nerves re-grew, but since the glans area was still sensitive I had no trouble with erections, sex, or climax. You say you don’t have any follow-up scheduled until February, but there’s no reason you shouldn’t ask your doctor or schedule a visit if you’re concerned. Even a primary care physician / GP would be able to offer insight if you can’t get in to see your surgeon. It’s as likely to be psychological as physical, I would imagine. Good luck!
I just had my urethroplasty through the perineum like yours two weeks ago. I havent had an erection since and I lost some sensitivity in my penis although it is still really early and seems to be getting slightly better. I am young also (23) so I am in the same boat as you. I have read around it heard it can take several months to recover in some cases. I also think the ed issue could be mostly mental which is what I am hoping is in my case.
I am about two and a half weeks out of my end-to-end surgery for a stricture between 1 – 2cm in the bulbar region, cath is out, stream is forceful and directed (they will measure it a month from now) and with respect to ED issues, I can report the following: Flaccid state immediately following surgery and to date appears to be shorter than it was before surgery. Masturbation is not appealing to me at this stage of recovery AT ALL. However, involuntary erections are happening frequently (and they occurred nightly while I had the catheter in) and they are accompanied by discomfort and pain. The erections are partial so I can’t say if erect length is fully recovered and the pain appears to emanate from the part of the urethra between scrotum and penis that was not the site of the intervention.
Before surgery, my full erection position was centered and facing slightly upwards. I was able to press it up straight against my abdomen with no pain. (Not sure if this positioning throughout my life is/was a normal but it never interfered with sex).
After surgery, my partial erections are veering to the left and I encounter uncomfortable resistence if I try to center it and/or position it upwards and towards my abdomen. So, I will have to talk about this with the surgeon. He advised against sexual activity for a full month, so that would be for about 6 weeks after surgery. By sexual activity I can surmise that he means, no sexual intercourse and no masturbation, but I am not clear if this includes voluntary attempts to attain an erection just to test things out.
It is still pretty early and I will have to see how things go. Before surgery, my anxiety was about suffering another emergency urinary retention episode living with a bulbar urethra that was 60% closed. After surgery, my anxiety is now about whether ED issues will resolve, and if not, whether they outweigh the benefits of significantly improved flow.
Popcorn35mm, my husband is getting ready to go thru same surgery. Has any of your complications with length or ed resolved? Also how bad was your pain and bruising? Looking back would you have done anything differently?
Hi Wife, sorry I didn’t get an alert when you posted. My complications have resolved mostly. I’m able to have normal positioned erections. Post operation flaccid length is actually a bit more. Post operation erect length seems to be less, however, reaching 90% levels to the best of my recollection. I never measured. I am not having difficulties getting erections, or ejaculating, however, ejaculation force is zero … Let’s just say I’d never get hired to do a porno … Never would have before the surgery, either. Pre surgery ejaculation force was good, but I think it was hampered by the stricture. Post surgery, the force is not there, although semen does come out. I am seeing my Dr. next week, so I’ll discuss it with him. I’m a little over two months post surgery.
I don’t know what I would do differently, really. Other than the ejaculation issue, I am happy I did the surgery. I really wanted to have it done. My flow post surgery is really, really good, like 75% better. I’ll know the flowmeter readouts on Monday.
I hope that over time the muscles that control ejaculation will heal or return to normal. Feel free to ask more questions. I’ll try to check back.
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