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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for urethral stricture

i had surgury for a stricture 3-4 years ago. I am not sure what kind of surgery I had but it required a catheter for a week afterwards. That was so miserable. The stricture has seemed to return. after about 2 years. n I have lived with it since and I really dont want to do the surgery again. It is not fun to feel a little bit of stinging as well as a week skinny stream of urine. compared to after the surgery anyway. I am only 28 I do not have cancer or any other diseases. I am sure this is a stricture. iT feels very deep, like the base of the penis. that is where the restriction starts and i feel like my urethra in the penis has become narrow as a result but the stricture is in the base. Is there anything new in this treatment outside of surgery. I will not go under the knife again for this so if there are any measure I can take to help this I would appreciate it. thanks
Fri, 9 Jun 2017
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General Surgeon 's  Response
Hello,

There are so many treatment options available for urethral stricture like cystoscopic internal urethrotomy, urethral dilatation, self-intermittent catheterization, Oral molecules in form of urinary antibiotics, antispasmodics, antifungal molecules, urinary alkalizers, thiazide or potassium-sparing diuretics, and others are non-specific.

For figuring out any of the modality you must have first the precise level of stricture documented anatomically through ascending urethrography report (not verbal narration by our feeling).

I strongly recommend to get a fresh ultrasound and AUG report done and consult with the reports. I assure you to guide in the best possible manner without undergoing any blade part.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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