	AllExperts > Urology
	Search

About Stephen W. Leslie, MD
Expertise
Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience
Full time practicing urologist with 20 years experience. Assistant Clinical Professor of Urology at the Medical College of Ohio. Editor in Chief of eMedicine Urology internet textbook. Author of only book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison

Awards and Honors
Thirlby Award of the American Urological Association.

You are here: Experts > Health/Fitness > Urology > Urology > knowledge on Stricture Urethra disease

Urology - knowledge on Stricture Urethra disease

Expert: Stephen W. Leslie, MD - 11/7/2009

Question
QUESTION: I am a 50 yrs old Pakistani man, facing urinary retention problems since 20 yrs, Urologist of Pakistani Hospital diagnosed as Stricture Urethra,lot of dilatation done, lot of Cystoscopy was don, 06 or 08 time Optical urehtrotomy was done, and now 25th Feb 2009 Buckle lay Urethroplastee was also done but i am still in urinary retention problems what to do now ??

i am very tired with this disease, please help me guide me,

lovingsubhankhan@yahoo.com is my email address

ANSWER: Abdul:

This is obviously a complicated issue. A urethroplasty is a major repair for a stricture and is usually quite successful. At this point, the reason for the failure needs to be determined.

The world leaders in this kind of problem are in Norfold VA in the US but there may be other centers nearer to you.

---------- FOLLOW-UP ----------

QUESTION: Sir i wish to know in details of cause of failure of this major operation and further more how to be sucessfull with future operation, what to do for suceesfull,which procedure will be now sweatanle for me,

awating your responce

ANSWER: Abdul:

What you ask is beyond the responsibilities of this forum. However, in short, possibly causes for failure include infection, disruption of suture line, leakage, wound dehiscence, fistula formation, scarring, devascularization of the mobilized tissue, etc. Lots and lots of possible reasons for failure which is why urethroplasties are typically done only in major centers that do them frequently. Proper technique helps but there is no way to guarantee a good outcome.

---------- FOLLOW-UP ----------

QUESTION: Thanks for respond, but now what i will do for successfully repair of this Urethra,what treatment will be sweatable for now??please help me

Answer
Abdul:

I can't tell you what the optimal treatment should be because the exact nature of your remaining problem is unclear. Talk to your physicians about possible solutions. Perhaps a visual urethrotomy or dilation might be sufficient or possibly they might suggest that you do a daily stretching of the stricture. Or this might do more harm than good. You need specific advice that will depend on the nature, location and severity of the remaining problem. Consider getting a second opinion from another medical center.

Add to this Answer Ask a Question