Urethral Dilation: What to Expect After the Procedure - Urology

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Urethral dilation


Hello Dr.
Lin, I underwent urethral dilation last week, and three days later, I noticed that my urine stream has become narrower again.
Should I temporarily abstain from sexual activity?

Xiao Wang, 20~29 year old female. Ask Date: 2010/12/14

Dr. Lin Hexing reply Urology


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following advice: After undergoing a recent urethral dilation, it is advisable to abstain for one month.
Additionally, it is important to drink plenty of water to increase urine output, which can be beneficial for the urethra after dilation.
Finally, I wish you peace and happiness.

Reply Date: 2010/12/14

More Info


After undergoing urethral dilation, it is common to experience some changes in urinary function, including the sensation of a narrowed urinary stream. This can be a temporary effect as the urethra heals from the procedure. Here’s what you can generally expect after urethral dilation and some recommendations regarding sexual activity.


What to Expect After Urethral Dilation
1. Initial Recovery: After the procedure, it is normal to experience some discomfort, mild pain, or a burning sensation during urination. These symptoms typically resolve within a few days. You may also notice some blood in your urine, which is usually not a cause for concern unless it persists or is accompanied by severe pain.

2. Changes in Urinary Stream: It is not uncommon for patients to experience fluctuations in urinary stream caliber after dilation. Initially, you might notice that your urine stream is narrower or that you have difficulty urinating. This can be due to swelling or irritation of the urethra post-procedure.
3. Duration of Symptoms: The symptoms of a narrowed stream should gradually improve as the urethra heals. This healing process can take several days to weeks. If you notice that your symptoms persist beyond a week or worsen, it is advisable to consult your healthcare provider.

4. Potential Complications: While complications are rare, they can include infection, further narrowing of the urethra (stricture), or damage to surrounding tissues. If you experience severe pain, fever, or persistent bleeding, seek medical attention promptly.


Recommendations Regarding Sexual Activity
1. Temporary Abstinence: It is generally recommended to avoid sexual activity for at least a week following urethral dilation. This allows the urethra to heal properly and reduces the risk of complications such as infection or further irritation.

2. Listen to Your Body: If you feel discomfort or notice any unusual symptoms during sexual arousal or activity, it is wise to stop and allow more time for recovery. Engaging in sexual activity too soon can exacerbate any irritation or swelling in the urethra.

3. Consult Your Doctor: If you have concerns about your urinary stream or the timing of resuming sexual activity, it is best to discuss these with your healthcare provider. They can provide personalized advice based on your recovery progress and overall health.


Conclusion
In summary, after urethral dilation, it is normal to experience some changes in urinary function, including a potentially narrowed stream. Temporary abstinence from sexual activity is advisable to allow for proper healing. If symptoms persist or worsen, or if you have any concerns, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your health and comfort should always be the priority during the recovery process.

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