Our expert says:
Have you had a second opinion from another urologist about your options of treatment? What does your doctor think will be the long term picture - will this be a constant problem that needs repeated cystoscopies and dilatations? It sounds to me as if you have a chronic bladder infection / urethritis too, this could be due to the repeated procedures, the stricture itself or the stent. Strictures can also cause chronic prostatitis. Discuss with your doctor whether intermittend sterile catherization ( where you physically empty the bladder with a thin stainless steel catheter every 4-6 hours) may be an option for you when you have pain and difficulty to empty your bladder? Sometimes the area that causes the stricture can be cut out with open surgery and re-attached or a graft can be used to remodel the urethra. Ask your Doctor if he knows of someone in your area that are specialized in this. Dilatation only helps in 55% of patients whereas open surgery is successful in >80%.
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