Post-Surgery Symptoms After Urethral Reconstruction - Urology

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After undergoing urethral reconstruction surgery, it is not uncommon to experience a variety of symptoms as part of the recovery process. The symptoms you describe, including pain and a tingling sensation in the penis and testicles, as well as difficulties with erections and movement, can be attributed to several factors related to the surgical procedure and the healing process.

Firstly, it is important to understand that urethral reconstruction involves significant manipulation of the tissues in the genital area. This can lead to inflammation and irritation of the surrounding nerves, which may explain the tingling sensations you are experiencing. Post-operative pain is also common, particularly in the early stages of recovery, as the body begins to heal from the surgical trauma.

The fact that you had a catheter in place for three weeks after surgery is also relevant. Catheterization can cause irritation to the urethra and surrounding tissues, which may contribute to discomfort and changes in sensation after its removal. It is not unusual for patients to report a feeling of tightness or restriction in the genital area following catheter removal, as the tissues may still be adjusting to their new state after surgery.

Regarding the issues with erections, it is important to note that the surgical procedure may have affected the blood vessels and nerves that are crucial for erectile function. While you mentioned that you can achieve some degree of rigidity, the sensation of being "pulled" or restricted during an erection could indicate that the surgical site is still healing and that there may be some temporary changes in the anatomy or function of the erectile tissues.

It is also worth considering that psychological factors can play a role in post-surgical recovery. Anxiety about sexual function after surgery is common, and this can sometimes exacerbate physical symptoms. It is essential to give your body time to heal and to communicate openly with your healthcare provider about any concerns you have regarding your recovery.

In terms of what to expect moving forward, it is crucial to follow up with your surgeon or urologist. They can provide a thorough evaluation of your symptoms and determine whether they are within the normal range of post-operative recovery or if further intervention is needed. They may also recommend specific exercises or therapies to help improve blood flow and nerve function in the area, which can aid in your recovery.

In summary, while the symptoms you are experiencing can be concerning, they are not uncommon after urethral reconstruction surgery. Pain, tingling, and changes in erectile function can all be part of the healing process. However, it is essential to maintain open communication with your healthcare provider to ensure that your recovery is progressing as expected and to address any specific concerns you may have. Regular follow-ups and possibly some rehabilitation exercises may be beneficial in helping you regain full function and comfort.