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I had my urethroplast over a year ago. The first six months everything was normal, then the strength of my stream started tapering off, I started feeling a pinch everytime I peed, and its just been gradually getting worse ever since. I went to my doctor to get my flow tested and he said the rate isn’t “bragging rights@ but it is normal for what they expect from the procedure. I would say since then its gotten about twice as worse, but I don’t want to go back, because what’s the point? Has anyone had the same experience? It seems like this procedure doesn’t work the way they say it will, and it only relieves some of the symptoms but does not fix the problem entirely. There doesn’t seem to be any real cure for this disease and you’re just meant to suffer silently, or be happy with what you’ve got. I’m really depressed about it and find myself thinking about it every day, almost as soon as I wake up.
Hey Poortony, Sorry that you have to go through this. A few things i can think of that i hope will help:
Keep in mind that just because you’re have lower urinary tract symptoms doesn’t mean it’s the stricture again. A UTI, prostatitis, or some other process not related to the stricture/surgery could be causing this. If you saw your GP and they only did a flow test, then i think you should go see a specialist/urologist.
Strictures do come back in 5-10% of people – this is unfortunate but is a known risk. I would request a cystoscopy; that way they can visually confirm if there is a recurrence or any other abnormality. If there is a recurrence, often they are flimsy and can be successfully opened up by DVIU.
I’ve read a lot of posts here and it seems like a slight decline in flow rate is totally normal. Pain after a year is not.
I can’t stress this enough – IF YOU ARE IN PAIN, DEMAND AN EXPLANATION FOR IT – If the Dr. is not 100% sure why something is happening they need to do the diagnostics to figure it out. Go to a different doctor if they won’t.
DON’T PUT IT OFF. Too many men (including me, for 25 years) put off this stuff and it never helps. Just go in and get it done. Good luck man and keep us posted.
Thanks JohnB!
I took your advice and went to a doctor. Turns out I have a UTI. They’re not sure what kind, but they’re doing more tests to find out. For now I have antibiotics that should clear up the infection and the pain. I had this before post-surgery and it came back, so I just thought it was the new normal which is why I was feeling so upset about it because an infection is not something you can live with or should ignore.
I also went a long time without doing anything about my structure (15 years), so I know how to grin and bear it (even if it makes me miserable). The problem is I feel embarrassed talking about it so I rarely get the perspective I need to deal with it properly. Thanks for reading and giving me some perspective. I think I’ll have to open up about it to more people so it doesn’t feel so desperate again.
PoorTony,
That 1 week of antibiotics is not a very long course. Also, if they didn’t test your urine after the antibiotic was finished they can’t be sure they killed the infection completely.
Also, since 1 type of antibiotic does not all all kinds of bacteria, it’s possiable that the antibiotic you were on killed one type of bacteria you had but left others behind, that are now taking over and growing.
Maybe you should ask your doctor to culture your urine – that way they can identify the various types of bacterial colonies and choose an apporiate antibiotic for them all.
Keep seeing your doctor till the issue is resolved. Infections can cause scaring, and scaring can cause strictures. Good luck!
John B.
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