Bladder ureteral obstruction/stricture

Hi @jimb1950, I know that @kellanns, @tom1984 and @jakedduck1 have had some experience with the topic of obstruction. Perhaps they can speak to their experience and if they had any scarring. I know that there is a minimally invasive procedure using a laser. What symptoms are you currently experiencing?

I’m completely plugged up can’t go at all hence the catheter.

@jimb1950
My problems were different than yours. I only had to use a catheter for several days. I haven’t had the scarring issue that you are having. Do you know what the scarring is from. How often do you change your catheter? My dad’s doctor wanted to do a super pubic on him but I put a stop to it but after 40 or so years I don’t remember why. Of course my father’s condition was different as well he was paralyzed from the neck down so he had to have some type of catheter.
Since UTIs are more frequent with catheter usage of course water is probably the best thing to drink but lemon lemonade and orange are helpful as well. Basically anything acidic I don’t drink them or eat them while you have an infection.
Wish I could’ve been more helpful.
Best of luck to you,
Jake

Hi jimb1950. I too became completely blocked in January 2019 due to BPH. Had catheter for several months and then Bipolar Turp. About 2 months after the surgery was having issues again and doctor diagnosed bladder neck constriction from scar tissue formation and also a small urethral stricture. Had surgery again in July (Bladder neck incisions) to relieve the scar formation and at the same time they dilated the urethral stricture (since the urethral stricture was small, Dr felt that was worth a try over urethroplasty which is better for larger strictures he said). Surgery went well and been good since then - a little over a year has passed now. Recovery was smooth with little to no discomfort. Back to work in about 1 week. Keep us posted on what the Dr. recommends.

Thanks hope mine goes as well as yours👍

One other thing I forgot to mention is that before the surgery and since, the doctor recommended increasing my vitamin c intake and to eat extra protein post surgery to try and reduce the scarring from recurring. He said there is only limited data on this having an impact but he said it wouldn’t hurt to try and push the odds more in favor of reduced scarring since it looked like I had a propensity for that. It did help me mentally too since it was something I could do proactively and feel a little more in control of things. I went to 2000 mg per day of vitamin c and also increased my protein intake with a protein bar, extra nuts and things for the first several months post surgery. Might be something to discuss with the specialist to make sure it would be ok in your case. Good luck!

Good input, though I question the remedial effects of Vitamin C in this example. That said, good nutrition is important. Mayo Clinic has a nutritionist on staff who was very helpful to me in recommending a diet strategy for cancer recovery and prevention. Mayo also has a book that can help guide cancers patients on nutritional dos and don'ts both hard copy and online.

Thank you

I'm 70 years of age and had a TURP operation 15 months ago to reduce the size of my prostate. In short, the operation didn't work properly. Urinating during the day is normal but night time is a problem - up every 2 hours and then the sphincter muscles refuse to open resulting in my having to massage my penis to stimulate a flow of urine. My urologist has prescribed Valium to relax the sphincter but this isn't working either. No-one seems able to explain why this occurs at night time and why the sphincter muscles don't work as they should. I'm told the next step is a supra pubic catheter which I am trying to avoid. Has anybody out there had a similar experience?

Hi @alderton and welcome to Mayo Clinic Connect. You'll notice that I moved your message to this existing discussion where @jimb1950 @jakedduck1 and @tom1984 are talking about similar issues with bladder and urether obstruction issues. I'd also like to bring @amgracing1 @palevsky and @predictable into this conversation regarding their experiences with the supra pubic catheter and problematic urine flow.

See more in this related discussion:
- Prostate and Bladder Issues https://connect.mayoclinic.org/discussion/i-am-a-68-nearly-69-year-old-man-that-has-had/

Alderton, it's interesting that the issue is problematic at night, while urinating during the day is normal. That would seem to indicate that movement helps and inactivity doesn't, but you need to sleep. Have you considered getting a second opinion?