Bladder neck constriction

Posted by tom1984 @tom1984, Sat, Jun 15 3:26pm

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.

Liked by Leonard

@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?

Liked by Leonard

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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.

Liked by Leonard

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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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