Bladder neck constriction

Posted by tom1984 @tom1984, Jun 15, 2019

Had bipolar TURP in early April and latest cystoscope showed bladder neck contracture. Dr wants to do dilation but from what I have read this isn’t usually a permanent fix. Any other treatment suggestions or experiences? TURP followed acute urinary retention with several failed trials without catheter.

@tom1984, I'd like to introduce you to a few other members, like @victor1930 @jakedduck1 and @predictable, who may have useful experiences with bladder neck obstruction or urethral stricture, as well as TURP.

Tom, did you have the dilation done in the meantime? How are you doing?

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@tom1984
Hi Tom,
Welcome to Connect. I like your username, I like anything that’s easy to remember.
Did you have a prostatectomy or other prostate surgery.
My first recommendation is not to have dilation. It hurts like hell! and isn’t that successful. Of course maybe your not the wuss I am. They can use an anesthetic and if the doctor refuses grab your clothes, run to your car and floor it!!! There is another type dilation procedure where a balloon is used so only the stricture is dilated. It would probably hurt less but I’d still look for an alternative treatment. I’d ask about having a Urethroplasty. Your doctor will probably agree that’s the best Stricture treatment.
Good luck with whatever you decide.
Jake

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@jakedduck1

@tom1984
Hi Tom,
Welcome to Connect. I like your username, I like anything that’s easy to remember.
Did you have a prostatectomy or other prostate surgery.
My first recommendation is not to have dilation. It hurts like hell! and isn’t that successful. Of course maybe your not the wuss I am. They can use an anesthetic and if the doctor refuses grab your clothes, run to your car and floor it!!! There is another type dilation procedure where a balloon is used so only the stricture is dilated. It would probably hurt less but I’d still look for an alternative treatment. I’d ask about having a Urethroplasty. Your doctor will probably agree that’s the best Stricture treatment.
Good luck with whatever you decide.
Jake

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Thanks again for the reply. I opted for a bladder neck incision but the urologist did a urethral dilation as well while I was under general anesthesia. He said it is a waiting game now to see if I scar down again. Flow is already slowing down after only 4 weeks so I’m getting more pessimistic. Will mention the urethroplasty on my follow up visit.

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@tom1984

Thanks again for the reply. I opted for a bladder neck incision but the urologist did a urethral dilation as well while I was under general anesthesia. He said it is a waiting game now to see if I scar down again. Flow is already slowing down after only 4 weeks so I’m getting more pessimistic. Will mention the urethroplasty on my follow up visit.

Jump to this post

Thankfully you had anesthesia for the dilation but I don’t believe the fat lady sang. I hope you share the reason why your doctor chose against the Urethroplasty.
Good luck,
Jake

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@tom1984

Thanks again for the reply. I opted for a bladder neck incision but the urologist did a urethral dilation as well while I was under general anesthesia. He said it is a waiting game now to see if I scar down again. Flow is already slowing down after only 4 weeks so I’m getting more pessimistic. Will mention the urethroplasty on my follow up visit.

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I am a 41 yr old Male.

I am supposed to have surgery this week for a tight bladder neck. I have had the issue for 7 years and my bladder is getting weaker.
I am very scared and not sure if it is the right decision. I have been on flowmax and it helps some. I am on two pills totaling .80.
I am 41 years old and had a qmax score of 6 without any meds and 12 with meds. The meds cause some side effects like eczema and some dizzyness, maybe even some back and side pain.

If anyone has an experience with having a BNI at 5 and 7 could you please share with me your experience>?
My BIGGEST fear is incontinence. I am 41 have two kids and a beautiful wife.

Did you get and form of Incontinence?
Did you get the dreaded Retro?
How long was your recovery time?
Would you share with me your outcome and if any complications?
Did you get the results you were looking for?
Would you do it again knowing what you know now?

Am I jumping the gun having this surgery or am I scared of things that are very unlikely?

I see some people have good flow after the surgery but then find out a few weeks later their slow flow comes back. Thank you for anything you can share.

Thank you,
Joel P

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