Happy New Year everyone!
Today I visited my urologist for a cystoscopy to look at the stricture. We agreed in advance that he would not try to pass the stricture or dilate it. Urinalysis still shows 4+ blood which is consistent with the fact that I am still inflamed (= in pain). He said the stricture was back but not bad, although he said that it didn't look bad in March and when he tried to dilate it found that things were worse higher up since he couldn't even pass the smallest follower (dilator). In any event, my uroflow wasn't bad and I had no residual, which doesn't surprise me since I never have obstructive symptoms, just pain and bladder irritability.
He said he didn't see any inflammation (but I feel it, and if it's not inflamed, what's bleeding?!?) He offered to just pass the scope through the stricture but I suggested we not do anything at this time since
- I just had surgery 3 weeks ago, so why would opening things up traumatically last any longer or be any better
- I just self-catheterized 1½ weeks ago and the end result was enough swelling that I couldn't pass the catheter 2 days later
- I need a break from these symptoms. I've been hurting since just after Thanksgiving. Another procedure will mean at least 2 more weeks of healing. Even just looking up to the stricture has irritated me.
- My daughter is getting married in 5½ weeks . I need to be feeling better then, and I need to work on baking cookies now!
We agreed that he would take another look after the wedding and if the stricture was not too tight for me to pass a 14 French catheter, I would try it in his office then, and see if self catheterization is still a viable option. If not, he will refer me to Dr. Noel Armenakas in Manhattan for urethral reconstruction surgery. Thankfully, Dr. Armenakas participates in my insurance since I have no out of network benefits.