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My husband just had a urethroplasty 5 weeks ago. He had a 2 cm bulbar stricture removed, perineal approach, no graph. very straightforward surgery. He had 2 catheters put in following the surgery. A supra pubic that was used to drain the bladder, and a regular catheter that was plugged up.
His recovery was okay. His stitches opened up, he got a UTI. Nothing fun. He had the catheters in for 4 weeks. After 4 weeks the penile catheter was removed, and the SPC is still in until tonight.
He is so disappointed, as his stream is very weak. After he had the vcug after the catheter removal, he was shown the xray and everything looked great – no stricture. But his stream is very weak, a bit split in the beginning. He was expecting to piss like a racehorse. He had had 2 previous dilations and after those (although they were not long term solutions) he was shocked by the powerful stream. He completely expected that now and instead he has a weak stream. He is hoping the the SP catheter still in is affecting his stream (it’s plugged up). That’s highly doubtful. Does anyone have any experience with this? This past month has been hell with these 2 stupid catheters, the whole experience has not been fun by any means. We were hoping to put all this behind us but now he’s just so upset about this weak stream, he comes out of the bathroom saying “it sucks” every time.
Has this happened to anyone?If the post-op UCG was good, I would assume that the SPC
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be impacting flow if the balloon is near the exit of the bladder. Possibly the effect of covering the top of the straw w/ your thumb. How long before the SPC is removed?
Also, could it be possible a UTI is causing swelling?
Has he followed up w/ his urologist? I would.
Did you say he still had the SPC in? If so, there won’t be enough pee and pressure in the bladder to cause a strong stream because the SPC will have drained the pee.
Thank you for your replies! He went to urologist this evening and he took out the spc. The dr. first mentioned something about leaving it in for a few more weeks and my husband thought to himself “either you take this thing out of i will!”. The dr did take it out, and he’s only gone to pee once or twice since then but he said it’s a bit better, the flow is still not like a firehose but he now feels like his bladder is actually empty after he peed. The dr. did say that he’s seen this before and it improves. He said his bladder has a narrow neck so if in the next few days his flow doesn’t get stronger, he can start him on some bladder meds, whatever that means. If that doesn’t work, he said he’ll scope him to see what’s going on in there. As of now he is very happy to be rid of all the catheters, it’s been 5 weeks of catheter hell. We’re just hoping his flow increases dramatically in the next few days and that the spc was impeding his pee.
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