September 16, 2018 at 10:24 pm #1850Adam dakakParticipant
To make a long story short I was operated about 10 years ago at 24 years of age. 10cm stricture within the penis. However 2 other stricutres occured since,one in the bulbar region the other about an inch away from the tip. Last year we operated on the bulbar stricture using a buccal graft.
I am so frustrated that I too am considering perineal urethrostomy and be done with it. I only found out about this type of intervention after my second surgery. If you would be kind enough to answer me the following questions:
The ejaculation from the new opening does it create a mess?
Have you had any uti’s seeing that the opening is so close to the anus?
Has flow decreased since? How many ml per second?
I have seen a few methods including the “7” flap technique, do you know what method he used.
Is this a life time fix?
And finally did he cap off the part of the urethra so that no urine or semen can pass the opening and just stay your penile urethra.
I know its a lot of questions but I have had so many side effects from the 2 previous surgeries that I just want to move on with my life. Thank you so much.
September 18, 2018 at 10:37 am #1858BillMParticipant
- This reply was modified 1 year, 6 months ago by Adam dakak.
Here are my answers to your questions.
The ejaculation is messier than before, but typically just between my thighs and really not that bad. I will often keep my underwear on & just pulled down some from my waist to catch it. No big deal in my mind.
Never had a UTI since the procedure and I am sure my wiping technique is not always the recommended approach.
Flow has been consistent since the surgery at around 32ml/sec (way, way better than I ever had before).
I am not sure of the exact method used, but it is supposed to be a lifetime fix. Plan is to have 5 followups at one year intervals and then be done.
There was nothing done to block the flow into the penile urethra, but this has been a non-issue as well. Occasionally I may have a drop of urine come from the tip but it has not been a problem at all.
Hope this helps and good luck. I would have done it years earlier if I had known it was an option (especially after knowing how it turned out).September 11, 2019 at 2:56 pm #1987Adam dakakParticipant
Hi billm. Im taking a chance knowing its been a while. I am now scheduled for my pereneal uresthrostomy oct 23rd. Are you still satisfied having taken that route. Thank you
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