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Hi CTrain,
My ejaculation rate actually seemed to get a bit faster, I think. It gives one great push, then it kind of oozes out after. From what I have seen so far.
I do still have a firm spot under the incision too. I believe this is scar tissue that will soften with time, like the inside of my mouth. That spot is starting to get ore stretched out and softer.
Just to give you something to look forward to, I am feeling much more comfortable sitting and walking around like I don’t have something between my legs.
I am not totally sure what my flow rate is or was when I went for my 6 month appointment. I know that it has slowed some from what it was. But as long as it is emptying my bladder that is all I care about really.
Good luck with your recovery.2.5 Months Post:
Hey all. Things have been churning along. I’m now 2.5 months post urethroplasty. I do still have some random bouts of pain and itching but they’re honestly not that bad (just irritating). I saw my doc last week. The flow came back maxing at ~33 (awesome), and averaging at ~23 (good enough). PVR was high, but likely because i downed so much fluid.
The one concern right now is the lack of ejaculation power. It still just oozes out. I spoke with my urologist who said he had never seen this happen in all of the times he has performed this procedure. He says that the surgery wasn’t close to any of the nerves that would cause this type of problem and really just had no idea what it would be. I asked about diagnostic tests and he said there are none that he can think of to determine what the problem is. Bottom line, my urologist basically said there’s nothing he can do for me in regards to this problem.
That’s kinda craptastic since it’s a complication of his surgery. I’d at least like to know what’s going on with my body. I have found some people performing research on this topic, however. The clinical term appears to be “semen sequestration”. I’m planning on contacting some of those urologists and asking for advice.
I guess the silver lining is that I think I can get enough out to impregnate, and if not it should be enough to artificially impregnate. Seeing as that’s the main side effect right now (no major pain spots as others have noted, only a little tight feeling but not bad during erections, etc) I guess I’ll consider myself lucky.
As always, I’m here to answer questions.
Peace.
Crazytrain,
Good to hear an update from you. It’s nice to hear a continuing progress update from somebody who has had an Urethroplasty. For the most part it seems like you’re staying very positive. That’s good. Maybe with a little more time the ejaculation will improve. One thing you can maybe request is a semen analysis to rule out any infection. I’m not a Doctor, but that would seem like a way to at least see if it’s healthy semen. You’re very positive and that’s a good thing. Wishing you well and hoping everything gets back to normal.
Neil
I guess I’ll post another update.
Month 4-ish. Still no ejaculation power. I’m beginning to think the doc fucked up somewhere. Still get stuff out, but it dribbles at best. Haven’t checked flow lately, but it’s certainly down from last post. The tugging feeling while voiding has also resumed. At the moment the flow/tugging is not so bad I’ll go out of my way to see the doc. However, we’ll see if he has anything to say next time. If I do end up having to have another procedure done (certainly a possibility the way things are now), I’m going to find a new doc.
Sorry to hear about your issues, crazytrain. One of the potential complications my surgeon mentioned before my operation was the formation of a small membranous stricture which is easily and quite successfully cured with a direct visual urethrotomy (which is a much less scary proposition once you’ve already had a urethroplasty). Maybe that’s happening in your case. Either way, sounds like you’re not happy and may want to see a subspecialist again. PM me if you want my surgeon’s info — he’s in Philadelphia.
My husband had a buccal mucosal urethroplasty done last Friday. His surgery was 7 hours long. He had a very large stricture. Was your procedure done with buccal mucosal? Also, do you remember how long it was before you had a bowel movement? It’s been a week now and he still hasn’t had one. Also wondering how you’re doing now after the surgery?
Hey Odiez,
My doctor opted to not use the Buccal graft. However, there is much evidence that the graft is helpful regardless of size. For a long stricture, my understanding is that it would definitely be the preference for graft.
The bowl movement for me was a long time as well. I think it had something to do with the general anesthesia combined with the morphine and other drugs I had after. It very well may have been about a week or a little over before I had one. When it finally came, it was the most difficult one of my life. I ended up taking a few different diuretics, fibers, and other stuff as I became increasingly concerned about what was going on in there. The concern is that the stress of pushing hard to get it out could affect stuff up there. Also, with the foley and swelling, it’s already very unpleasant. I’d definitely suggest getting him drinking a good amount of water and eating a good amount of fibers to help push things through.
I’m doing well overall. Last checkup was my 6-month. I was surprised to read that my flow was up at ~40 ml/s. That is ridiculously better than my ~2 ml/s prior to any operation. Sensation at the incision spot is still slowly returning (not 100% yet). Sadly, I still do not have any force behind my ejaculation. That’s really the only negative thing I have about the whole ordeal. From what I understand, my situation is not common, so I probably wouldn’t worry too much about that. Even with the impaired ejaculation, i can still get stuff out, it just doesn’t shoot out. It basically oozes. With modern science, this would appear to be more than enough for the purposes of insemination.
How is the recovery going? I always watch for posts here and respond when I get the chance.
His recovery is going as well as it can I guess. He says his pain is a little bit better each day. The pain in his mouth has been the worse. He goes for his first follow up on July 2nd. He will have an RUG done at that appointment so hopefully everything will be ok and he can have his catheter taken out. Thanks for your response. I’m glad I found this web site. There is no one that I know of that has had this procedure let alone even heard of it, so it’s actually good to hear some stories from other people that have had this done.
Odiez, glad your husband got the surgery. It’s truly the best course of action for this condition. The early part of the recovery is the hardest. Pooping while you have a Foley catheter in is definitely a weird experience. It helps if you can get off the opioid pain reliever and if you’re eating fiber and taking your docusate sodium (Colase) to soften the stool. Once the urge to poop hits, the trick is to take your time and try to relax as much as possible. Don’t bear down at all to get the BM out — just slowly relax and let it happen.
I just posted an update on my thread — four months post op, I’m feeling great and have been for awhile now.
Thank you very much for the responses and glad everyones doing well. He was taking colase twice a day as prescribed from his doctor and I got him some over the counter pills over the weekend. He finally had a bowel movement yesterday morning. He hasn’t taken any pain pills since Sunday. He said that his most discomfort is the first couple hours in the morning after he wakes up. He can’t wait to go back to work and I keep telling him not to push it. Just wondering if anyone had any numbness in their testicles? He has all the feeling in the right one, but his left testicle is totally numb.
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