Urethral Issues: Causes, Treatments, and Surgical Options - Urology

More Info

---

Understanding urethral issues can be complex, especially when they stem from experiences during adolescence. In your case, it seems that the tight gripping of the glans during ejaculation may have led to some form of urethral dysfunction, possibly resulting in residual urine after urination. This can be uncomfortable and inconvenient, particularly in public settings.


Potential Causes
The symptoms you describe—residual urine and the need to manually express urine from the urethra—could be indicative of several conditions. One possibility is a urethral stricture, which is a narrowing of the urethra that can impede the flow of urine. Another potential issue could be a urethral diverticulum, which is a pouch that can form along the urethra and may trap urine. However, your symptoms do not strongly suggest a diverticulum, as they are more commonly associated with women.


Diagnosis
To accurately diagnose your condition, a thorough evaluation by a urologist is essential. This may include a physical examination, urinalysis, and possibly imaging studies or a cystoscopy, where a small camera is inserted into the urethra to visualize any abnormalities.


Treatment Options
If a urethral stricture is diagnosed, treatment options may include:
1. Dilation: This is a non-surgical procedure where the stricture is gradually widened using specialized instruments.

2. Urethrotomy: This is a minor surgical procedure where the stricture is cut to allow for normal urine flow.

3. Urethroplasty: In more severe cases, a surgical reconstruction of the urethra may be necessary.

If a urethral diverticulum is confirmed, surgical intervention may also be required to remove the diverticulum and restore normal urethral function.


Surgical Considerations
Regarding your concerns about surgery:
- Hospital Stay: The length of stay can vary depending on the procedure. Dilation may be done on an outpatient basis, while urethroplasty may require a short hospital stay of one to two days.

- Complications: As with any surgical procedure, there are risks involved, including bleeding, infection, and recurrence of the stricture. However, these risks are generally low, especially when performed by an experienced urologist.

- Facility: While general hospitals may be equipped to handle these procedures, it is often advisable to seek treatment at a facility that specializes in urology, particularly if surgery is required. A larger hospital may have more resources and specialists available.


Conclusion
It is crucial to consult with a urologist who can provide a tailored evaluation and treatment plan based on your specific symptoms and medical history. They can also discuss the potential need for surgery and the best facilities for your care. Addressing these issues can significantly improve your quality of life and alleviate the discomfort you're currently experiencing. Don't hesitate to seek a second opinion if you're unsure about the recommendations you receive.