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Urology/Urethral stricture after greenlight surgery


I had this greenlight laser surgery done nov 14 2013.  Now I have all this grainy stone like material all around the prostate area where it was lasered.  While passing this stoney material I got a stricture with imbedded stoney material in it.  The urologist says he can laser out the stone material and the stricture but I will have to cath myself.  Do these strictures always reocur, how long before one may close up completely and how did this happen.  He explained how safe it was and how it would benefit me and now I'm in the worst nightmare of my entire life.


Unfortunately, strictures frequently recur, but treatment usually does not cause the patient to do self catheterizations except intermittently to keep the passage open.  There is no way to predict how long it may take for the stricture to close up completely as this varies greatly from one person to another.  By the time a stricture is noticeable, in most cases it is quite tight and so a treatment such as surgery should not be delayed too long or you may end up requiring an emergency procedure.

If you are concerned, consider a second opinion if you can get one quickly enough.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved 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.

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

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.

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. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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