Posted 6/9/2011 2:39 PM (GMT -7)
You may be experiencing the beginning of a stricture at the bladder neck. The uro would probably want to "scope" you and have a look, and the blockage, if you have one, may be able to be opened or widened by dialation rods in the office. This helps some men. If it is heavy scarring, it may involve a mini day surgery, where the doc can full open the stricture or blockage while you put under. I had 6 such ops for that purpose. For a small percentage of me, it can be a chronic situation, like with me, or it can be a one or two time shot, and then its fixed.
The most common place is at the bladder neck to urethra connection. Strictures can also occur within the urethra itself, which is the easier of the two locations to work with.
If you are scoped, the first time, it is scary, but they heavily numb the tip of the penis with lydacaine gel, and gently insert the probe. If you relax (hard to) and not try to watch, its not so bad. The scope even has a camera so they can see everything clearly. Often after you have been scoped or dialated in that area, you may have to spend a few days to a week with another catheter to allow healing after the correction.
I wish you luck. What you don't want, is total blockage and end up in the ER. So be sure to keep your uro informed of your condition before it gets that bad.
David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10