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Urology/TURP recovery question

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I'm 70 and in excellent health....had TURP surgery a little over 6 weeks ago (my first surgery ever).  Went into retention the day after the catheter was removed and had to go back on for 5 more days.  After removal, all went well.  Stream was strong, very little blood and debris and very little discomfort.  About a week ago I noticed that my stream started to weaken and I actually had to bear down somewhat (not a lot) to get a steady stream and was "dribbling" at the end....although the "dribbling" was always there.  I was voiding though and emptying well.....I went for my 6 week checkup last week and discussed this with my Dr.   I was thinking I might have a stricture but he said it was unlikely and that I was probably still healing and that more clots and debris may still be present or I could just still be swollen....We did however schedule a cystoscope for 2 weeks down the road just to check....wondering what you think....thanks so much for your time.

Answer
Don:

I'm with you.  I think a stricture is certainly possible, but the fact that the need to "bear down" is troubling at this point 6 weeks after surgery.  Your physician is right that this would be considered a little early for a stricture after TURP surgery.  Let's see what happens.  The cystoscopy in 2 weeks should be definitive.

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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 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.

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

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