Cold knife urethrotomy surgery
Common Questions and Answers about Cold knife urethrotomy surgery
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Most of the patients in this series will be expected to experience failure with longer followup and the expected long-term success rate from any (1 through 5) urethrotomy approach is 0%. Urethrotomy should be considered a temporizing measure until definitive curative reconstruction can be planned.
THE JOURNAL OF UROLOGY® Vol. 183, 1859-1862, May 2010
© 2010 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION AND RESEARCH, INC.
The stricture was cut open by my Urologist with an endoscopic internal urethrotomy using an endoscope every roughly six months for about 7 years. I then had a full urthroplasty where my urethra was cut opn and skin from under my arm was used top graft it. This failed within 6 months and I returned to having the endoscopic internal urethrotomy about every 6 months for another 5+ years.
ve had 2 surgeries in the past 6 months to deal with a recurrent urethral stricture. Both at very good hospitals in NYC area. First was a urethrotomy, second was urethroplasty. Anyway, I was tested for HSV-1 and HSV-2 prior to first surgery and both came back negative. 2 weeks ago, I retested because of ongoing dysuria that's been going on constantly for over a year. Anyway, my HSV-1 came back negative and HSV-2 now positive. I retested a week ago and same result. IGM negative.
My son now aged 18 years suffering burning sensation while passing urine and the flow took lot more time than normal for past two years. The urologist performed internal urethrotomy 6 months ago. He felt marked improvement. Unfortunately in the last three months he is having the same problem in the first time of the day but subsequent times he is ok. Now uroflow meter now shows reduction to the extent of 50%. The doctors advice dilatation two to three times whenever he faces problem.
There can be a catheter implantation post surgery and also what is important is the extent to which the shaft of the penis is excised. Later on urethral reconstruction can take place.
Hi
I have been diagnosed with a uritheral stricture and doctor recommended urethral dilation/urethrotomy. There is a chance it can come back. Is it worth it? Can i see problems if dont fix it?
When the doctor has catheterized the urethra then instrumental manipulation can itself resolve a mild stricture. If the symptoms persist then surgical treatment like urethrotomy and urethroplasty may be needed.
I sincerely hope that helps. Take care.
Around 2 weeks ago I started experiencing the weird sensation of having the urge to pee even though the catheter is in, urine does gush out from around the catheter but it also gets drained into the drainage bag. is this normal? shouldn't the urine flow naturally into the bag without getting the urge to pee?
I have been taking buscopan and don't really get bladder pain (cramps), so I'm at a loss cause to why this is happening.
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After way too many trips to Emergency Room for a Foley catheter, I had laser surgery and then cold knife surgery. Surgery alone almost never fixes a stricture permanently. What finally worked is a second cold knife surgery followed by 6 months with a temporary stent (Spanner). I took the Spanner out March 30 this year and have had NO retention problems since that date and my flow rate is above normal for my age (77) and has remained unchanged since the Spanner was removed.
Hallo Doctors, does someone who has prostate cancer (MRI test shows cancer spread only within the prostate) have gamma knife or surgery to remove it. Does gamma knife ensure all cancer cells are burned? Does gamma knife ensure beningn prostate self corrects to allow normal urination? Isnt complete radiation or surgery the best option to ensure cancer is all removed?
I had Gamma-Knife Surgery 4 months ago for Trigeminal Neuralgia. After the surgery, I felt no different than before. However, recently, I began to feel a twinge in my lip like a oncoming cold sore. Two weeks later, I have almost complete numbness on the entire left side of my face. I am incredible greatful because my pain is gone, but I no longer feel anything. I feel as though I can't move my face even though the PA said it's all within the nerve not the muscle.
You have a type of tumor that can be treated with medications. however, yours is very large.
Yes, you need to take the medications and see how it effects the size.
Has your doctor discussed with you the side effects of the gamma knife and that it will take 6 months to 5 years to work? And that you may lose your other hormones, and may have to take other medications?
Cheers for that (I think!). Is there any other way of getting rid of polyps or shrinking them so far that they don't cause trouble, short of surgery? I've had enough surgery in my time that it doesn't really bother me but my wife doesn't like the idea of going under the knife, so for something which is primarily just noisy, she's not going to want me to agree to surgery.
They watched it for a while with MRIs as it slowly grew bigger. They almost waited until it was too big to do gamma knife surgery (called bloodless surgery, using gamma rays and a helmet they screw on to make sure the head is absolutely still during the procedure). The meningioma was extremely close to the optic nerve where they almost couldn't do gamma knife as well. But thanks be to God, they were able to and it wasn't quite too big to do gamma knife surgery.
I also was not a candidate for traditional surgery for my avm and instead had gamma knife radiation. idk the outcome yet as it has only been 4 months but the recovery time was much shorter than it would have been with open surgery.
i am 17 now btw, i was 16 at the time of the surgery
but where are u from??
How was the surgery? was it rough for you? Did you have a full stream or was it always weaker than normal and did you have to go the bathroom fruqently more than usual.
Has anyone had the gamma knife surgery and in doing so worried about radiation exposure? I know it is extremely high in order to destroy the nerve. I would love to know how people deal with and approach the fact even though the radiation is highly targeted, it is still approaching high theapuetic levels. I have pain in both sides of the trigeminal nerve and may need one dose to each side. The idea of that much radiation freaks me out to point I am consdiering Rhizotomy instead.
Thanks!
My 41 year old sister was dianosed with stage 3 or 4 ovarian cancer in October. The doctors could not perform the debulking surgery because her largest tumor is wrapped around an artery close to her pancreas. The doctor's plan was to give her the standard chemo, try to shrink the tumor and then do the debulking surgery, followed by more chemo.
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