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Surgical removal of Urethral stricture, operational fears - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Hello. I have been diagnosed with a urethral stricture and have undergone two systoscopy. They now want to do an operation of some sort where they remove the stricture and replace it with tissue from my mouth. This is something i feel i am unable to cope with and it has caused me to have some quite severe mental problems.
User :   hello?
Doctor :   hi
Doctor :  
give me 2 minutes please
User :   ok
Doctor :  
ok
Doctor :  
whats ur age/sex?
User :   i am 26 and male
Doctor :  
from how many days u are having stricture?
User :   almost 3 years
Doctor :  
ok
Doctor :  
the operation which u have mentioned is permanent urethral stent with buccal mucosal graft
User :   ok
Doctor :  
as Ur previous urethral dilation procedures were not fruitful the next alternative and successful treatment is permanent urethral stent
Doctor :   i suggest u to go for the surgery
Doctor :  
as failure rate is low
User :   the idea of the operation is making me physically ill
Doctor :  
why would a doctor make u physically ill??
User :   not a doctor the operation itself
Doctor :  
the operation is to cure ur problem
Doctor :  
even though its a major surgical procedure ..it will give goood results
User :   yes i understand but i just do not feel confident enough to go through with it
Doctor :  
why?
User :   because the pain and blood terrify me
Doctor :   hmm
Doctor :  
i can understand ur pain
Doctor :  
but if u want to come out of this problem then surgery is the only option
User :   i was afraid you would say that
User :   are there no other alternatives?
Doctor :  
no
Doctor :   urethral dilators are there but recurrenec is very high .
User :   will this kill me if i don't have the operation?
Doctor :  
this stricture will not kill u
Doctor :  
but u will have problems for urination
User :   the main problem i am having are mental regarding this and other things. If i put off the operation for a while until i am in a more confident state of mind would it be ok?
Doctor :   yes
Doctor :  
it would be fine
Doctor :  
but discuss this with the doctors
Doctor :  
cos if the stricture is advanced
Doctor :  
then u should go for operation immediately
User :   all they have told me is that it is 2cm deep
Doctor :  
ok
Doctor :  
Urethral stricture may totally block urine flow, causing acute urinary retention.
Doctor :   Treating urethral stricture quickly may prevent complications such as kidney or bladder infection or injury.
Doctor :   so its better u do it as soon as possible
Doctor :  
but if u wanna postpone it for some days u can,as it is not an emergency now..but u should talk to the surgeon before that
Doctor :  
cos he would be knowing ur status better than anyone
User :   is the operation as bad as i read?
Doctor :   u should understand that operation is done only for ur hapiness.
Doctor :   even though u may have to suffer little during operation ultimately u will be happy
User :   it's making me want to kill myself
Doctor :  
no
Doctor :  
dont worry
Doctor :  
its just an operation why are u worried
Doctor :  
?
Doctor :  
they will not take entire mucosa from ur mouth
Doctor :   it will be very little
User :   it's because no one is telling me anything. I mean i don't even know if i could die during it
User :   and i have a lot of problems in my life that are making me so ill
Doctor :   no
Doctor :  
no one wants u to die
User :   this feels like the end
Doctor :   noways
Doctor :  
its the begining of a new life
Doctor :  
with out any problems
Doctor :  
dont get depressed
User :   it's a bit late i'm afraid
Doctor :  
u know there are people who are coming out of heart surgery happily
Doctor :  
and they are living happily
Doctor :  
compared to that this is a minor surgical procdure
Doctor :  
u know men can live even with out pennis
User :   can i be honest with you please?
User :   my nan was in hospital when she broke her hip during a fall
User :   they did a hip replacement and she seemed to be recovering well
User :   then she just died
Doctor :  
ok
User :   they gave us no reason why
User :   no comfort
Doctor :  
whats her age?
User :   she went in with one problem and died of something else
User :   86
User :   but she was healthier than me
Doctor :   hip replacement at 86 is kind of risky
Doctor :   u are just 26
User :   but that wasn't what killed her.
Doctor :   then?
User :   they were taking so much blood from her
Doctor :  
what was the reason?
User :   they treated her really poorly
Doctor :   that is what i am telling
Doctor :  
at that age manipulating too much
Doctor :  
they cannot take the stress
User :   but why did they do it then?
Doctor :  
but its not the same with u
Doctor :  
u would have asked for it
Doctor :  
cos hip replacement is not emergency
Doctor :  
its just an option
User :   no they did not ask for consent. we took her to the accident and emergency and they did everything without asking us
User :   and that's why i am afraid. because i have lost faith in medical people
Doctor :   hmm

Doctor :   ok
Doctor :  
she met with accident?
User :   she slipped in the kitchen
Doctor :   NO DOCTOR WANTS TO KILL A PATIENT
Doctor :  
even we are human beings
User :   of course not
Doctor :  
may be it happened with ur nan
Doctor :  
but not with everyone
User :   i don't blame the doctors i just think that it didn't have to happen that way and that what she died of was not related to what she went in for
Doctor :  
u can see thousands of patients coming out of hospital happily after getting cured
Doctor :  
why do u want to take ur granny as example//at 86 she would have had many undiagnosed diseases which would have been exagerrated
User :   i know. i don't mean to sound critical i'm just so afraid. and my life is hell. i have to be honest with you. i have been thinking death wouldn't be such a bad thing. and i don't just mean the kind of everyday stress. i have so many things going wrong
Doctor :  
i am sorry to hear that
Doctor :  
but life is ups and downs
User :   it just feels like downs. i don't ever remember being happy
User :   i'm loosing the will to live and when that goes what's left?
Doctor :   i dont know about ur other problems
User :   if i told you i would give you nightmares
Doctor :  
but u should fight and live
Doctor :  
rather than be weak
User :   that's just it. i used to be so strong and able to overcome anything. but things have gotten too much and it all seems pointless. the kind of problems i have do not have solutions
Doctor :  
its better u see a psychiatrist also
Doctor :  
so that he will give u counselling
Doctor :  
which makes u feel better
User :   my gp will not refer me. i went to the doctors on monday and she said i should google some self help
User :   no one wants to help me
Doctor :   u tell them about ur depression they will refer u to psychiatrist
User :   i have but they will not
Doctor :  
ok
User :   they just say i am anxious and it will pass
Doctor :  
Ok
User :   i don't know what to do
Doctor :  
You should stay calm
Doctor :  
and be bold to face the surgery
Doctor :  
There is no need to panic regarding the procedure
Doctor :  
At your age, there are wont be a problem
Doctor :  
to face it
Doctor :  
Only thing is you need to overcome the fears
User :   is there anything you can reccomend to help?
Doctor :   Nothing much

Doctor :  
Do not have that fear
User :   it's a bit easier said than done
Doctor :   Ok

Doctor :  
Yes, it is I can understand
User :   i guess i just want to know if i could die during this operation
Doctor :   No

Doctor :  
You need not

Doctor :   You should not have such fears

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