Posterior urethral reconstruction surgery
Hello doctor, I underwent a posterior urethral reconstruction surgery at the end of last month, and I had a catheter in place for three weeks.
It was removed the day before yesterday, and I am now able to urinate normally.
However, I am experiencing some mild pain and numbness in my testicles and penis.
Two days after the surgery, I had some erections, and since then, my penis has been able to achieve rigidity.
After the catheter was removed the day before yesterday, I felt like my erection was being restricted halfway, as if it was fixed in place and couldn't continue to rise.
When I try to exert force, my penis doesn't move as freely as it did before the catheter was removed; it can only move a little bit and feels numb.
However, the rigidity seems to be okay.
When I try to move my penis with my hand, it feels somewhat restricted.
Why is this happening?
zero point zero, 20~29 year old female. Ask Date: 2010/11/21
Dr. Xu Weikai reply Urology
Hello, injuries to the urethra, especially in the posterior urethra, often accompany nerve damage.
Sometimes, symptoms do not appear immediately but instead manifest after surgery due to scar tissue formation during the healing process.
This can frequently lead to complications such as painful erections and abnormal sensations in the penis.
For mild cases, local heat application can help improve the condition.
Reply Date: 2010/11/21
More Info
After undergoing urethral reconstruction surgery, it is not uncommon to experience a range of post-operative symptoms, including pain, numbness, and changes in erectile function. Your description of experiencing slight pain and a tingling sensation in the penis and testicles, as well as difficulty with penile movement after the catheter was removed, raises several important points that warrant further discussion.
Firstly, it is essential to understand that the surgical procedure you underwent involves significant manipulation of the urethra and surrounding tissues. This can lead to inflammation and irritation of the nerves in the area, which may explain the numbness and tingling sensations you are experiencing. These symptoms can be part of the normal healing process and may gradually improve over time. However, if the sensations persist or worsen, it is crucial to follow up with your surgeon or urologist for a thorough evaluation.
Regarding the difficulty with penile movement and the sensation of being "pulled" during an erection, this could be related to several factors. After surgery, the tissues may be swollen or healing, which can restrict movement. Additionally, the surgical site may have some scarring, which can also affect mobility. It is important to note that the ability to achieve and maintain an erection can be influenced by various factors, including psychological aspects, nerve function, and blood flow. If you notice any significant changes in erectile function or if the sensations of tightness and restriction continue, it is advisable to consult with your healthcare provider.
In the immediate post-operative period, it is common for patients to experience fluctuations in their symptoms as they heal. The fact that you were able to urinate successfully after the catheter removal is a positive sign, indicating that the reconstruction was successful in restoring urinary function. However, the discomfort and changes in sensation you are experiencing should be monitored closely.
To manage your symptoms, consider the following recommendations:
1. Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments with your surgeon. They will assess your healing progress and address any concerns you may have.
2. Pain Management: If you are experiencing discomfort, discuss pain management options with your healthcare provider. They may recommend over-the-counter pain relievers or prescribe medication if necessary.
3. Gentle Movement: While it is important to avoid strenuous activities, gentle movement and stretching may help alleviate some discomfort. However, be cautious and listen to your body.
4. Avoid Irritants: Avoid any activities or substances that may irritate the surgical site, such as tight clothing or harsh soaps.
5. Monitor Symptoms: Keep track of any changes in your symptoms, including pain levels, numbness, and erectile function. This information will be valuable during your follow-up visits.
6. Seek Support: If you are feeling anxious or concerned about your recovery, consider speaking with a mental health professional or joining a support group for individuals who have undergone similar surgeries.
In conclusion, while some discomfort and changes in sensation are expected after urethral reconstruction surgery, it is essential to remain vigilant and communicate any persistent or worsening symptoms to your healthcare provider. They can provide tailored advice and interventions to support your recovery and address any complications that may arise. Your health and well-being are paramount, and proactive management of your post-operative symptoms will contribute to a smoother recovery process.
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