Meatal Stenosis/Urethra Stricture/Enlarged prostate

Posted by da69 @da69, May 15 3:28pm

Dont know how to word this or where to start?
I have had trouble urinating...weak stream...stop and start...dribbles
and frequent urgency for over a yr now.
I am 54 yrs old and have enlarged prostate but my PSA screening is good 1.0.
I finally have seen a uroligist for first time ever.
Heres where it gets emberrassing so bear with me.
My whole life i have had to sit down to urinate to avoid missing the toilet all together due to having 2 holes on the end of my thingy and it was never a problem and i hid it from everyone close to me my whole life and it was no big deal.
Well the Doc is saying i have a Meatal Stenosis and a urethral stricture.
He even threw out the word possible urethra reconstruction depending on the severity of things.
So like a idiot i researched them procedures and now i am scared to death!
The meatal stenosis removal on the tip of my thing while not pleasant seems straight forward.
But the urethra stricture seems a lot more invasive as well as the reconstruction he mentioned.
I was circumsised as a baby and he says the meatal stenosis is a problem
from being circumsised.
For whatever reason my folks who are gone now never had it addressed and i never remember it being brought up.
I just have always urinated sitting down...I don't know if i was taught as a youngster or how it all came about?
Has anyone on here had any of the procedures or problems i have listed and how did it go?
I have a follow up on the 24TH of this month and have a lot of questions for the doctor after researching things.
I remember him saying the meatal stenosis could be lasered unless it went too deep but the rest is a blur.
It would be nice to urinate standing up after all these years.
Any advice or questions i should be asking the doc as well as your own personal experiences on any of these procedures would be greatly appreciated.
Hopefully i am scared of the unknown and what i watched on you tube.
Be honest with me please as i know i will be wearing a urine bag after for awhile but i would like to know what to expect pain wise?
Thank you

Interested in more discussions like this? Go to the Men's Health Support Group.

It sounds like a lot to digest. I would glady trade my constant pain level 0f 6-8 for your having to sit down to pee. Women have been sitting doen to pee forever. I would think long and hard before I let someone cut into my "thingy". Recommend a second opinion.

REPLY

Hi. I have had urethroplasty to fix mine. Not that bad. I did have to have a suprapubic catheter for 12 months so it would heal. After it healed I had AUS installed. Urethroplasty was ok. Not much pain but need to be careful. NO heavy lifting. I would do it again if needed. Are you near Mayo? Or where?

REPLY
@heisenberg34

It sounds like a lot to digest. I would glady trade my constant pain level 0f 6-8 for your having to sit down to pee. Women have been sitting doen to pee forever. I would think long and hard before I let someone cut into my "thingy". Recommend a second opinion.

Jump to this post

Sitting down is no problem....Been doing itfor 54 yrs.....The other problems i mentioned are what led me to see a specialist....If correcting my urinary problems means as a bonus i can urinate standing up....Then yes that is a good thing.

REPLY

Diagnosed Bulbar urethral stricture 2 cm long after 2 months of laser prostate surgery for BPH. Age 66,male
ANY suggestions for most experienced urethroplasty surgeon.
Thanks for your help

REPLY
@tiburon

Diagnosed Bulbar urethral stricture 2 cm long after 2 months of laser prostate surgery for BPH. Age 66,male
ANY suggestions for most experienced urethroplasty surgeon.
Thanks for your help

Jump to this post

I have a great surgeon in St Paul who specializes in radiation caused problems. It was a 2 year project but success happened.

REPLY

Would you be so very kind to share surgeon
'name at mayo urology st Paul clinic please
Appreciated

REPLY
@tiburon

Would you be so very kind to share surgeon
'name at mayo urology st Paul clinic please
Appreciated

Jump to this post

@tiburon, I'm tagging @budisnothome to make sure he sees your question.

REPLY

@da69, I'm so glad that you chose to see a specialist and that you wrote for thoughts and experiences of others here. Searching on the internet can be informative, but also scary. I know you're making a list of questions. Here are some of the questions I would want to ask:

What is the predicted outcome of surgery?
What are the risks?
How will post-operative pain be managed?
Will I urinate normally after treatment?
How long will I need the temporary catheter?
What can I do pre and post-operation to improve my recovery?

I'm also tagging a few additional members like @jakedduck1 @jimb1950 @predictable @upstatephil to see if they have experiences to add, especially regarding recovery and pain levels, to help you prepare for your upcoming consult.

REPLY
@tiburon

Would you be so very kind to share surgeon
'name at mayo urology st Paul clinic please
Appreciated

Jump to this post

Good morning. Wondering if you called the doctor and will he see you? Good luck.

REPLY
@colleenyoung

@tiburon, I'm tagging @budisnothome to make sure he sees your question.

Jump to this post

Colleen. I private messaged him and waiting to see if he called and can see him. I did not think it would be good to post it here. I can if you think it is ok.

REPLY
Please sign in or register to post a reply.