Dr. Khant Shahil Ramesh Bhai
Urology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I was diagnosed with an anterior bulbar urethral stricture that is 20 percent closed. I had two episodes of prostatitis, post-void dribbling and frequent urination with occasional mild burning and some mild spraying at the end of my stream. The urologist is recommending a repeat cystoscopy with dilation, but my urinary symptoms are fairly mild. I was on antibiotics previously. Urine analysis was bland with no infection. So, I am wondering if this dilation is even necessary or just to leave it alone?
Hello,
Welcome to icliniq.com.
When were you diagnosed with stricture? Where were you treated at that time and what treatment was given? Yes, I also feel that you should repeat cystoscopy and get it dilated as it invariably recurs. So, better to undergo cystoscopy and get it dilated as without that it may recur with more narrowing.
Patient's Query
Hi doctor,
Thank you for the reply,
The stricture was diagnosed four months back with flex cystoscopy in the office while awake. No dilation was performed nor other treatment. I did not yet undergo the dilation with anesthesia because I did not think my urinary symptoms were that bad. So, I figured I would just leave it alone, and maybe the mild stricture would resolve on its own.
Hello,
Welcome back to icliniq.com.
I thought that you previously had cystoscopy and dilatation. As per you, you only had office cystoscopy. Then, if you do not have any symptoms like reduced flow, then there is no need for this cystoscopy and dilation of the stricture. So, avoid it. I will suggest you get uroflowmetry test just for objective evaluation of your flow (you feel that your flow is good but it may not). If uroflowmetry is good, then no need for dilatation.
For more information consult a urologist online.
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Urology
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