Anyone have urethral strictures prior to prostate cancer treatment?

Posted by tobeornot @tobeornot, Feb 27 1:14pm

I have just been diagnosed with 4+3=7 Gleason score and am trying to decide between external radiation or proctectomy for treatment. I had struggled with a urethral stricture for many years, until a urethroplasty in 2022, that has resolved the issue up to now. That being said, the stricture has reformed slightly, but has not impacted my ability to void. My question: is there anyone out there that has been impacted by strictures after either of the treatments I mentioned, WHO ALSO HAD A STRICTURE ISSUE SIMILAR TO MINE BEFORE TREATMENT?

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Colleen Young, Connect Director | @colleenyoung | Mar 4 1:29pm

Hi @tobeornot, some of your questions might be addressed in these two related discussions:
- Bladder ureteral obstruction/stricture
https://connect.mayoclinic.org/discussion/bladderurethra-constricture-scarring/

- Radical prostatectomy, incontinence at night, can't pee in day
https://connect.mayoclinic.org/discussion/radical-prostatectomy-incontinence-at-night-cant-pee-in-day/

- Anyone dealing with Prostatic Strictures after Radiation therapy? https://connect.mayoclinic.org/discussion/prostatic-stictures/

I'm also tagging fellow members like @budisnothome @rjw4usmc @myersja @victor1930 who may have relevant experiences and tips to share.

Have you decided on which treatment?

chamblee54 | @chamblee54 | Mar 5 9:36am

I’m going through that right now. Just had stricture corrected and now trying to choose a treatment. I had been set up for Brachy, but my Dr wants to take that off the table due to concern over causing another stricture. He is offering IMRT. , but Im not sure why that is safer ,…. Frustrated by the confusion.

tobeornot | @tobeornot | Mar 6 2:46pm

In reply to @chamblee54 "I’m going through that right now. Just had stricture corrected and now trying to choose a..." + (show)

Totally understand your frustration. No clear path to treatment, especially when it comes to stricture possibilities. I had an urethroplasty in 2021 that solved my 10-year issue and now am facing the possibility of a reoccurrence with prostrate treatment. At this point I believe I will opt for surgery and seek reassurance from my urologist, who fixed the stricture, that he can do it again if necessary. Isn't it ironic that we may suffer from incontinence and voiding issues at the same time. The radiation oncologist I visited said seeds are out and no one would recommend that treatment due to my stricture history. I haven't found a lot information online, but it seems to me that stricture possibilities would be higher with radiation vs. surgery. Please post if you find any more information about strictures. WISHING YOU ALL THE BEST IN MAKING A TREATMENT DECISION.

tobeornot | @tobeornot | Mar 6 2:50pm

In reply to @colleenyoung "Hi @tobeornot, some of your questions might be addressed in these two related discussions: - Bladder..." + (show)

Thank you for the links. I am leaning toward surgery now, after initially thinking radiation. For me it seems there are more long-term side effect possibilities with radiation vs. surgery, but I am finding it very difficult to make the decision.

76692581119 | @76692581119 | Mar 10 9:49am

Had prostate removed eleven years ago with radiation. Have incontience with no quality of life. Have a structure but no problem voiding. Looking for help to at least help the 4-5 pads/ day