Aa
urine discharge problem
11 years ago I was operated on for bladder cancer. since that time I have had yearly cystoscope examination.s The results were normal.
I have developed scarring in the uretha and have trouble emptying my bladder. The flow is very slow and irregular. and i have trouble emptying my bladder.What are my options?
I have developed scarring in the uretha and have trouble emptying my bladder. The flow is very slow and irregular. and i have trouble emptying my bladder.What are my options?
to lori707
I was diagnosed with bone cancer of my right shoulder. It was then discovered that the cancer had metatasied from my bladdder which was the prime source of the cancer..
i was radiated for my shoulder cancer and had a bladder operation,
I never had any pain or discomfort due to this condition.And have been symptom free for the last 11years, Until now because of astricture in my uretha I am having trouble voiding.
Good Luck
I was diagnosed with bone cancer of my right shoulder. It was then discovered that the cancer had metatasied from my bladdder which was the prime source of the cancer..
i was radiated for my shoulder cancer and had a bladder operation,
I never had any pain or discomfort due to this condition.And have been symptom free for the last 11years, Until now because of astricture in my uretha I am having trouble voiding.
Good Luck
I was wondering if you can help me. I'm a 57yr.old women and may have bladder cancer. My symtoms are high blood calcium count, moderate - sever pain in bladder,bubbles in urine and parathyroid hormone imbalance. A possible kidney cancer lesion was just found on ultrasound but am currently going to another test.
Do you remember having any of my symtoms?
Thanks !!
Do you remember having any of my symtoms?
Thanks !!
MEDICAL PROFESSIONAL
Hi,
Medical therapy
"Some patients may opt to manage their stricture disease with periodic urethral dilations. The goal is to stretch the scar without producing additional scarring. It may be curative in patients with isolated epithelial strictures (no involvement of corpus spongiosum).
Surgical therapy
Internal urethrotomy
Internal urethrotomy involves incising the stricture transurethrally using endoscopic equipment. The incision allows release of scar tissue. Success depends on the epithelialization process finishing before wound contraction significantly reduces the urethral lumen caliber. The incision is made under direct vision at the 12 o'clock position with a urethrotome. Care must be taken not to injure the corpora cavernosa because this could lead to erectile dysfunction.
Permanent urethral stents
Permanent urethral stents are endoscopically placed. Stents are designed to be incorporated into the wall of the urethra and provide a patent lumen. They are most successful in short-length strictures in the bulbous urethra.
Open reconstruction
Primary repair
Primary repair involves complete excision of the fibrotic urethral segment with reanastomosis. The key technical points that must be followed include complete excision of the area of fibrosis, tension-free anastomosis, and widely patent anastomosis. Primary repair typically is used for stricture lengths of 1-2 cm. With extensive mobilization of the corpus spongiosum, strictures 3-4 cm in length can be repaired using this technique. The repair is left stented with a small silicone catheter in the urethra. The bladder is drained with a suprapubic catheter.
Repairs utilizing tissue transfer techniques
* Full-thickness skin graft: Non–hair-bearing skin should be utilized. It is most successful in the bulbous urethra area.
* Split-thickness skin graft: The split-thickness skin graft is not preferred with single-stage repair because of the contraction characteristics of the graft. It typically is reserved for use in patients for whom multiple procedures have failed and in whom local skin is insufficient for further reconstruction. It is conducted as a 2-stage procedure.
* Buccal mucosal graft: The tissue is resistant to infection and trauma. The epithelium is thick, making it easy to handle. The lamina propria is thin and highly vascular, allowing efficient imbibition and inosculation. Harvesting is easier than other free grafts or pedicled flaps.
* Bladder mucosal graft: It is not as popular as other free tissue grafts because of difficulty in harvesting and handling the tissue.
Pedicled skin flaps
These procedures are based on the principal of mobilizing an island of epithelium-bearing tissue with a pedicle of fascia to provide its own blood supply. Penile skin represents an ideal tissue substitute because it is thin and mobile and has an excellent blood supply.
* Skin island onlay flaps:
* Hairless scrotal island flap:
Skin island tubularized flap"
www.emedicine.com/MED/topic3075.htm
Do keep us posted on your doubts and progress.
Regards
Medical therapy
"Some patients may opt to manage their stricture disease with periodic urethral dilations. The goal is to stretch the scar without producing additional scarring. It may be curative in patients with isolated epithelial strictures (no involvement of corpus spongiosum).
Surgical therapy
Internal urethrotomy
Internal urethrotomy involves incising the stricture transurethrally using endoscopic equipment. The incision allows release of scar tissue. Success depends on the epithelialization process finishing before wound contraction significantly reduces the urethral lumen caliber. The incision is made under direct vision at the 12 o'clock position with a urethrotome. Care must be taken not to injure the corpora cavernosa because this could lead to erectile dysfunction.
Permanent urethral stents
Permanent urethral stents are endoscopically placed. Stents are designed to be incorporated into the wall of the urethra and provide a patent lumen. They are most successful in short-length strictures in the bulbous urethra.
Open reconstruction
Primary repair
Primary repair involves complete excision of the fibrotic urethral segment with reanastomosis. The key technical points that must be followed include complete excision of the area of fibrosis, tension-free anastomosis, and widely patent anastomosis. Primary repair typically is used for stricture lengths of 1-2 cm. With extensive mobilization of the corpus spongiosum, strictures 3-4 cm in length can be repaired using this technique. The repair is left stented with a small silicone catheter in the urethra. The bladder is drained with a suprapubic catheter.
Repairs utilizing tissue transfer techniques
* Full-thickness skin graft: Non–hair-bearing skin should be utilized. It is most successful in the bulbous urethra area.
* Split-thickness skin graft: The split-thickness skin graft is not preferred with single-stage repair because of the contraction characteristics of the graft. It typically is reserved for use in patients for whom multiple procedures have failed and in whom local skin is insufficient for further reconstruction. It is conducted as a 2-stage procedure.
* Buccal mucosal graft: The tissue is resistant to infection and trauma. The epithelium is thick, making it easy to handle. The lamina propria is thin and highly vascular, allowing efficient imbibition and inosculation. Harvesting is easier than other free grafts or pedicled flaps.
* Bladder mucosal graft: It is not as popular as other free tissue grafts because of difficulty in harvesting and handling the tissue.
Pedicled skin flaps
These procedures are based on the principal of mobilizing an island of epithelium-bearing tissue with a pedicle of fascia to provide its own blood supply. Penile skin represents an ideal tissue substitute because it is thin and mobile and has an excellent blood supply.
* Skin island onlay flaps:
* Hairless scrotal island flap:
Skin island tubularized flap"
www.emedicine.com/MED/topic3075.htm
Do keep us posted on your doubts and progress.
Regards
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