Welcome to the Urethral Stricture Support blog. These pages are intended to assist those with questions regarding the disease, expected outcomes, resources, and emotional and informational support. AT NO TIME WILL MEDICAL ADVICE OF ANY KIND BE RENDERED. With your permission, your commentary may be included within the topics discussed within this forum. Moderators Cesar and Tim have a combined 50 years (celebrating a half-century of difficult urination) of experience in living with, dealing with, and overcoming what is broadly considered a disease with a high rate of morbidity. We have experienced every common surgical and instrumental "fix"/"repair" offered including the implantation of the Urolume Endoprosthesis. Both moderators have experience with the Urolume Endoprosthesis. To the best of our knowledge, this is the first and only such support group anywhere. Please, do not be afraid or embarrassed to ask any question with regards to your diagnosis. We encourage you to discuss any and all information offered within this blog with your Urologist. A proactive and informed patient usually receives the best care.

With your help, and well-considered posts, the information gleaned from this site should help the countless scores of males aged 18 and over who are encountering the diagnosis of "Urethral Stricture".


DISCLAIMER: We do not provide medical advice. We disseminate information relevant to urethral stricture disease. While we encourage research (and participation in research), we endorse no medication or treatment protocols. PLEASE FEEL FREE TO CONTACT US WITH SPECIFIC QUESTIONS @ urethralstrictures[no spam] at yahoo dot com

Wednesday, November 23, 2011

The correlation between Urethral Stricture and Prostatitis

From Wikipedia:
After age 40, it is recommended that the prostate of urethral stricture patients be monitored (in males) at intervals as determined by the physician/practitioner overseeing the situation. Although no formal studies are available documenting this, there appears to be a slightly higher incidence of prostatitis in stricture patients versus the general population. Patient education and counseling is an important aspect of the successful resolution, and continued care for the stricture patient.

Per Moderator Tim:
I can attest to this first hand! My prostate began going south around age 34, as I visited my urologist on a bi-monthly basis with symptoms of UTI (Urinary Tract Infection) which would subside after beginning an antibiotic/antibacterial treatment regimen (note: Nitrofurantoin never worked, a symptom which is now known to be a key indicator that prostatitis is the culprit, and not a simple or more complex UTI). Very often, I would present with clouded urine, which showed symptoms of infection - sans bacteria. At one point my urologist postulated that this "probably has something to do with phosphotase".

**After countless courses of antibacterial therapy, at age 51, I am now taking Finasteride and Doxazosin daily, a treatment regimen which has helped (me) immensely, and have come to the realization that my prostate has been sending messages since my early '30s. I now require only one-or-two courses of antibacterial treatment per year. HAVE YOUR UROLOGIST MONITOR YOUR PROSTATE!

Prostatis.org: "Can Urethral Strictures cause Prostatitis?"

What to look for in a Urologist PART 2

Your local, board certified Urologist is most often certified by at least one of two well-recognized organizations: the American College of Surgeons (F.A.C.S. = "Fellow, American College of Surgeons),  and the American Board of Urology (Diplomat, American Board of Urology). INQUIRE AS TO WHETHER THE PHYSICIAN IS IN CURRENT STANDING WITH HIS OR HER BOARD CERTIFICATION, ASK TO SEE THE CERTIFICATE ON THE WALL IN THEIR OFFICE!!! <----IMPORTANT

*Check the track record of the hospital that the physician uses for his or her "base of operations", most often, a physician will have satellite offices spread throughout a specific region. Avoid having your procedure(s) performed at the regional hospitals, as the surgeon will (most often) be more familiar with the method of operations at their base hospital.


Research the physician's continuing education records, specifically related to urethral surgery (not related to the prostate). That walnut-sized "little gold mine" often preoccupies most urologists, as roughly 40% of their practice is prostate related.

*ask friends, neighbors, co-workers, etc. about their opinion of the facility in question, very often, the reputation of a hospital will correlate with the standard of care which you receive. Research the archive(s) of local newspapers by using the keyword "malpractice" in the search function. Check to see if there has been a recent change in the command structure of the facility, and consider avoiding having surgery there if "things appear out of place".

Consumers Research Council's AMERICA'S TOP UROLOGISTS:

Consumers Research Council's  TOP UROLOGIST SEARCH FUNCTION

What to look for in a Urologist PART 1

Once a diagnosis of Urethral Stricture Disease has been established by either urethrography or cystoscopy, it is important to credential the urologist whom you are considering to trust with the management of your case. BOARD CERTIFIED DOES NOT MEAN "EXPERT IN URETHRAL SURGERY", most urologists are "one size fits all", and have difficulty treating recurrent strictures successfully. Any of us who have heard the torturous metallic noise of urethral sounds hitting the tray can attest to this. The web will provide access to research written by your intended physician, look for research submitted to the journal UROLOGY, the National Institutes of Health, JAMA, and papers published by medical colleges and universities.


Remember, this is a condition which you will carry throughout your life - select only the best surgeon - speak up, stay involved in the management of your case - gather research and documentation for your insurance carrier as proof that sending you to a specialist in urethral surgery will save money for them, and anxiety for you. DO NOT SETTLE FOR DILITATION UPON DILITATION, it's difficult for you, and scars the urethra making surgeries in the future more difficult.