Urethral Stricture? Expert Dr. Steven Brandes Answers the Most-Asked Questions About Treatment

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  • เผยแพร่เมื่อ 2 ต.ค. 2024

ความคิดเห็น • 134

  • @LS8eighteen
    @LS8eighteen ปีที่แล้ว +16

    Dr. Brandes is currently my urologist. He diagnosed me with urethral stricture to be treated with a laser resection (I had this done 10 years ago with good success). He also found a benign growth in my bladder near the exit to the urethra that will be removed at the same time. The growth works like a "flapper valve" in your toilet restricting the urin flow currently. Wish me luck...

    • @LS8eighteen
      @LS8eighteen 11 หลายเดือนก่อน +4

      Had my procedure yesterday, feeling OK. Have to pull out the catheter now, it will be painful. Blood in the drained urine looks nearly clear now after 23 hours.

    • @CrackingTheCodess
      @CrackingTheCodess 10 หลายเดือนก่อน

      Hello, glad you are feeling better now! Did you have to redo the laser resection after 10 years? Or was it a permanent fix?

    • @kartheekmummareddy
      @kartheekmummareddy 9 หลายเดือนก่อน

      Can we get a video visit with this doctor. If yes can you share the details

    • @HerlindaRodriguez-t6w
      @HerlindaRodriguez-t6w 4 หลายเดือนก่อน

      How did it go ?

    • @Umairfamily-v2s
      @Umairfamily-v2s 3 หลายเดือนก่อน

      Stricture ke saath urine mein blood aur pain Hoti hai?

  • @gregorydamienmech
    @gregorydamienmech ปีที่แล้ว +7

    This doctor is brilliant, but as a male it sends shivers down my spine just listening to the details. I guess I'm a wimp.

  • @glenbearh9109
    @glenbearh9109 ปีที่แล้ว +5

    I had a stricture treated at Columbia by Dr J a few months ago. I have it due to SBRT for PCA so far a balloon dilation has worked. I hope if it returns I can get the drug coated procedure but my stricture is slightly too long near 3cc

    • @BimboTV
      @BimboTV 8 หลายเดือนก่อน +1

      What's your symptoms of stricture may I know

    • @glenbearh9109
      @glenbearh9109 8 หลายเดือนก่อน

      I had severe hematuria with big blood clots. Worse part was I was close to going to the ER because I could not void but then suddenly I was able. I had full retention when I started radiation after about the 6th session and had to get to the ER for a catheter but it got worse and I had a paraphimosis. Awful!
      @@BimboTV

  • @MrBlurrysm
    @MrBlurrysm 2 ปีที่แล้ว +11

    Thank you on the details explanation. I'm living with urethral stricture for 18 years without knowing it. I had it from catheter during my hospital stay in 2004 for perforated appendicitis. May this year suddenly can't urinate and rushed to ER and confirmed I have bulbar stricture. Went for endoscopic produre and need to self catheterization but it painful and hard to do. Endoscopic procedure as mentioned is just a temporary treatment. Good flow around a month. Need to go for urethroplasty.

    • @daraashiqq4831
      @daraashiqq4831 2 ปีที่แล้ว

      Did you got your Urothoplasty done plz?

    • @joshuasawyer7711
      @joshuasawyer7711 2 ปีที่แล้ว +2

      I would ask your doctor if Optilume would be a good fit for you before Urethroplasty! It’s the new drug coated boated he mentions in this video

    • @armanshah9877
      @armanshah9877 2 ปีที่แล้ว

      @@daraashiqq4831 not yet

    • @armanshah9877
      @armanshah9877 2 ปีที่แล้ว

      @@joshuasawyer7711 thank you for the suggestion. As I understand, it's a new procedure and not yet available widely at the moment. I'm still have my post oiu follow up and will check with my doctor on the new treatment.

    • @FersaKo
      @FersaKo ปีที่แล้ว +2

      @@armanshah9877 I am possibly having stricture, researching a lot I see that cystoscopy and these procedures that are done do nothing more than damage the urethra, I would wait about 3 more years to see if this optilume treatment works, I also hope that in that time they will already do a Less invasive and slimmer cystoscopy.

  • @mrjones7644
    @mrjones7644 ปีที่แล้ว +7

    5:23 This is what happened to me my first urologist..Fxckd up my urethra over & over and kept making it worse . OVER 9 times 😖 finally he sent me to someone who knew what they were doing . Thank god🥺

    • @nizarashkar798
      @nizarashkar798 ปีที่แล้ว +1

      How did the other one fix it?

    • @mrjones7644
      @mrjones7644 ปีที่แล้ว +4

      @@nizarashkar798 they Took some skin from the inside of my mouth and reconstructed my urethra. I am so thankful 🥲

    • @andrecancol
      @andrecancol 11 หลายเดือนก่อน

      @@mrjones7644 where fid you have this done? I live in Canada

    • @mrjones7644
      @mrjones7644 11 หลายเดือนก่อน

      @@andrecancol yes! I’m in Canada too. Dr. Daniel Rappaport is the one who helped me . He is amazing

    • @Kris-wg4ju
      @Kris-wg4ju 11 หลายเดือนก่อน

      ​@@mrjones7644Are you fully back to normal as in normal erection, sexual function, no pain, no urinary problems? Also has it been a long time with no recurrence?

  • @demandjustice8847
    @demandjustice8847 ปีที่แล้ว +3

    No doctor in my town knows anything aBout it. i have a little scar tissue belowy peehole. I currently have a stone stuck in it for weeks now. Ive been dialated one time and it worked well flr a year. Now im back to peeing razor blades one drip at a time. Its trecherous

    • @TumisoTMaponya
      @TumisoTMaponya 4 หลายเดือนก่อน

      I lived like that for the past 3 years💔

  • @faizank4228
    @faizank4228 2 ปีที่แล้ว +3

    Informative video, thanks. I’ve had 2 Cystoscopies, one in 2000 and one 3 years ago, would they have uncovered any potential urethral stricture?

    • @jamesbuttery3862
      @jamesbuttery3862 ปีที่แล้ว +1

      Oh yea, that's how it's usually diagnosed, through a scope. Also with an X Ray (RUG)

  • @ryanb6334
    @ryanb6334 4 หลายเดือนก่อน +1

    he just did mine 8 days ago. and I must say so far zero pain and I hope it works. there isn't anyone else I would allow to cut on my Johnson.

  • @TumisoTMaponya
    @TumisoTMaponya 4 หลายเดือนก่อน +2

    Well explained Dr, My last 3 years have been hell, I just recently got diagnosed with a stricture just near the opening, I'm always not looking forward to my next bathroom visit. In South Africa these surgeries are so expensive, but I cant live like this I gotta save up & fix this, so uncomfortable.

    • @Waaajoo
      @Waaajoo หลายเดือนก่อน

      What is your symptoms

    • @TumisoTMaponya
      @TumisoTMaponya หลายเดือนก่อน

      @@Waaajoo weak stream of urine, pain before & after urinating, but I had medication the week I posted this & I have since improved its still there a bit, but I believe a surgery will correct everything

  • @Rajankumar-s8x9o
    @Rajankumar-s8x9o 10 หลายเดือนก่อน +2

    pls tell me role of alternative herbal homeopathic medicines as dr atul singh told in his testimony of patients.

    • @MrBlurrysm
      @MrBlurrysm 5 หลายเดือนก่อน

      It won't work. Need surgery to fix the urethra

  • @TwesigyeBenson-k5p
    @TwesigyeBenson-k5p ปีที่แล้ว +2

    Am in Uganda living with urethra stricture 10 yrs can I do dr

    • @David-mz8xk
      @David-mz8xk ปีที่แล้ว +1

      You might have to get what I had a dialation or a urethrotomy I think it's called. And when that failed, they give me a urethroplasty. Which is when they cut the scar tissue out and replace it with your cheek. I don't know if they can do that and Uganda, I'm not sure. I'm American I'm sorry you have to go through this I'm in recovery from a urethroplasty right now I hope we are both fixed permanently with minimal side effects soon.

    • @namanyajoseph4540
      @namanyajoseph4540 21 วันที่ผ่านมา

      Hello bro, also in Uganda but doctor's are saying I have a stricture, can I connect with you for inquiries

  • @abdulkamran2911
    @abdulkamran2911 6 หลายเดือนก่อน +2

    Sir I am a paitent of structure urethra since 1990 lot of procedure done ie dilatation and LIU but in van now 2012 I was operated as urethroplasty grafting but again in 2021 I am in problem of l9w pressure urine passing please guide what to do if u provide your email address I will send you my urethrograme Cray report so please help and guide

    • @waqasrana8428
      @waqasrana8428 6 หลายเดือนก่อน

      where have u done ur urethroplasty?

    • @abdulkamran2911
      @abdulkamran2911 6 หลายเดือนก่อน

      @@waqasrana8428 Sir I was treated in Karachi

    • @ianclifford2671
      @ianclifford2671 3 หลายเดือนก่อน

      Im useing catheter but it's to painful ..I need fresh skin on the scar tissue. I am at my wits end

    • @ianclifford2671
      @ianclifford2671 3 หลายเดือนก่อน

      Urethroplasty I need

  • @sidduusture266
    @sidduusture266 2 ปีที่แล้ว +6

    How is Optilume ballon treatment for urethral stricture?

    • @daraashiqq4831
      @daraashiqq4831 2 ปีที่แล้ว +1

      Kya apnai bayi Urothoplasty larwayi

    • @sidduusture266
      @sidduusture266 2 ปีที่แล้ว

      @@daraashiqq4831 nahi

    • @daraashiqq4831
      @daraashiqq4831 2 ปีที่แล้ว

      @@sidduusture266 fr kya Kiya bayi, kitna sal Sai stricture hai

    • @sidduusture266
      @sidduusture266 2 ปีที่แล้ว

      @@daraashiqq4831 Doing self catheterization and taking Uttarbasti..

    • @daraashiqq4831
      @daraashiqq4831 2 ปีที่แล้ว

      @@sidduusture266 does uttarbsti work

  • @Fatimahafiza87-mi9dh
    @Fatimahafiza87-mi9dh 8 หลายเดือนก่อน +1

    Does it effects sexual life??

  • @JackMcMotivate
    @JackMcMotivate 2 ปีที่แล้ว +1

    Thank you for the information Dr. I was infected with Gonorrhea for 10 days, before given meds to cure it. Ever since I sometimes get a glued shut effect on my meatus. The no 1 Stricture Dr in my state did a cystoscopy, and said I have no stricture, but my urine flow feels different, and urine leaks afterward, and other symptoms present which i feel indicate minor damage to my urethra, but not enough to warrant a procedure? if this is the case am i pretty much stuck with the problems? I prob need a second opinion, but dread going through a cystoscopy again 😢

    • @theManfromtheRiverineCountry
      @theManfromtheRiverineCountry 2 ปีที่แล้ว

      Hi, how are you? Are you suffering from urethral stricture.?

    • @jamesbuttery3862
      @jamesbuttery3862 ปีที่แล้ว

      Cystoscopy hurts so bad ughh

    • @all4onejerzyd.344
      @all4onejerzyd.344 ปีที่แล้ว

      You can be put to sleep before you have a cystoscopy you can get minor anesthesia and they will do it for you, for the person with the issue above I would definitely get a second opinion right away, when you have these type of problems you don't we you have to get a second opinion right away go to a good urologist. If you're in India go to Bangor New Delhi or Mumbai.

  • @johnrowland3105
    @johnrowland3105 3 หลายเดือนก่อน

    Found this interesting.
    Been diagnosed with enlarged prostate and gone through many of the catheter/cytoscopy procedures mentioned here.
    The seemingly constant need to urinate is affecting every aspect of life.

  • @andrecancol
    @andrecancol 11 หลายเดือนก่อน

    Can you get a female urethra stricture after transvaginal mesh removal and urethra sling removal plus cystocele and enterocele surgery? My mom went for all of these procedures on the same surgery date, she 69 years old, this was 3 months ago and she is not able to void on her own she is self cath 4 times a day.
    Will urinary retention go away or does she have an urethral stricture that's is blocking the urine.?

  • @tihkal
    @tihkal ปีที่แล้ว +1

    I damaged my urethra by wearing this new condom that seals the tip tightly, and trying to pee with it on. It feels like it may be ruptured or it’s swelled very tightly so my pee won’t come up unless I push really hard, then it opens but is super painful. Do you think I need to go to the hospital? Or maybe the swelling will decrease overnight? Thanks for your help 🙏🏼

  • @trainmaster0217
    @trainmaster0217 ปีที่แล้ว +1

    I've had 3 kidney and bladder surgeries to remove stones. Now when I pee it comes out in a spray in different directions..not straight out. I have to pee in a jug. My urologist went inside of my penis and did a kind of mini surgery in her office. Worked great for a couple of weeks but now it's coming back. What could be wrong? Scar tissue from the surgeries maybe? It will probable get so bad that I'll have to go to the ER as I will not be able to pee a drop. I have an enlarged prostate but was able to pee just fine before the surgeries.

    • @KH-3414
      @KH-3414 11 หลายเดือนก่อน

      Surgery sucks

    • @trainmaster0217
      @trainmaster0217 11 หลายเดือนก่อน

      It sure does. Now I have to have my prostate removed. just can't get this behind me./@@KH-3414

  • @atuhairweabiyuda3817
    @atuhairweabiyuda3817 ปีที่แล้ว +1

    Infection from uti

  • @TwesigyeBenson-k5p
    @TwesigyeBenson-k5p ปีที่แล้ว +1

    What can I do am in Uganda am suffering from urethra stricture 10 yrs Dr what can I do

    • @David-mz8xk
      @David-mz8xk ปีที่แล้ว +1

      I saw a doctor after years you'll probably need a dilation or a urethroplasty like I got. I can't be sure though. I'm just a victim not a doctor and I don't know how ugandas like.

    • @manifest9726
      @manifest9726 ปีที่แล้ว

      ​​@siddhiarora323spam karke kuch mil jata ? Koi believe bhi nahi karega.. har jagah spam karte ho

    • @manifest9726
      @manifest9726 ปีที่แล้ว

      How are you now ? Did not you get any pain since 10 yrs ?

    • @namanyajoseph4540
      @namanyajoseph4540 21 วันที่ผ่านมา

      Hello bro, I have strictures and I need help

  • @اشرفعبدالحميد-ت1غ
    @اشرفعبدالحميد-ت1غ 11 หลายเดือนก่อน

    Hawe to diagnose stricture uerthra ..easy or best investigation

  • @noneofyogoddamnbusiness362
    @noneofyogoddamnbusiness362 3 หลายเดือนก่อน

    Thanks Dr. Octavius!

  • @Umairfamily-v2s
    @Umairfamily-v2s 3 หลายเดือนก่อน

    Stricture ke saath urine mein blood aur pain Hoti hai??

  • @SoniaMuhammadKhalid-zs9ef
    @SoniaMuhammadKhalid-zs9ef ปีที่แล้ว

    Sir mujhy partial ureter stricture hy
    Taqreeban 4 months honay walay hn . Mai ny jis hospital se check krwaya unho ny IVP TEST kia . IVP se phly doctor ny bola tha k masla abhi boht km hy . Ham stricture ko remove kr dyn gy . Takay ye kidney ko affect na kray . Lakin jab ivp ki report ai to unho ny kha k both kidneys are working well . Stricture bilkul partial ya mild sa hy . Ap ko operation ki need nhi hy . Or kuch pain killers dy di . Kha k jab pain ho to ye le lena .
    But I'm worried k mild stricture ko aisay kesay chor saktay hn . Ye agay ja k masla nhi kray ga ? Mai boht confuse hon pls mujhy guide kryn . What should i do ? Mai in doctor ki batai hui medicine hi ly lon ya khin or check krwao.
    Ivp ss phly to wo operation k liye kh rhy thy lakin test results k bad unho ny kha k operation ki need nhi hy

    • @DanishAliKhan-v7h
      @DanishAliKhan-v7h ปีที่แล้ว

      Aap ko urineta karta wqat pain hoti ha or 2 dhar ati ha

    • @SoniaMuhammadKhalid-zs9ef
      @SoniaMuhammadKhalid-zs9ef ปีที่แล้ว

      @@DanishAliKhan-v7h no sir ye to note nhi kia kabhi lakin urine khul kr nhi ata .
      Or pani kam pi lon to color dark yellow hota hy or kai dafa redness feel hui hy . Khichaooo hota hy means stretching feel hoti right side pr or pain b hota hy kabhi kabhi .

    • @SoniaMuhammadKhalid-zs9ef
      @SoniaMuhammadKhalid-zs9ef ปีที่แล้ว

      @@DanishAliKhan-v7h lakin urinet krty waqt jesay urine pass hota hy ajeeb se stretching hoti hy . Lakin itni painfull nhi hy abhi k bear na kr sako

    • @Unkownopytuio-vc6xn
      @Unkownopytuio-vc6xn ปีที่แล้ว

      Try homeopathy medicine for sticture It work well

    • @Unkownopytuio-vc6xn
      @Unkownopytuio-vc6xn ปีที่แล้ว

      @@SoniaMuhammadKhalid-zs9efbhai Apko kesy Pta laga ky sticture hai Mujhe b urine burning or frequent urination ka issue hai or bladder full empty ni hota

  • @deepakgrahasthi9472
    @deepakgrahasthi9472 2 ปีที่แล้ว

    dr सर यूरिनल स्ट्रक्चर हे ,एक बार इसका ऑपरेशन कराया लेकिन 2 साल बाद भी 14 न की नली को युस करना पडता हे। अब आगे क्या करें।

    • @abhiyadav887
      @abhiyadav887 2 ปีที่แล้ว

      Kaun sa operation karae ho bhai

  • @satypalkushwaha2015
    @satypalkushwaha2015 8 หลายเดือนก่อน

    India me kis hospital me hota hai ye treatment

  • @rotwiler7674
    @rotwiler7674 2 หลายเดือนก่อน

    I had optilume done for a bad stricture, It was like peeing through a fine thread before. Procedure went fine, within a couple days zero pain and flow is better than before stricture. Was terrified, normally surgery doesn't bother me, but now glad I did it.

    • @gobindkumar2723
      @gobindkumar2723 2 หลายเดือนก่อน

      thats great. I too want to go for Optilume for bulber stricture but scared of recurrence. how long back you got the surgery done ? any post surgery issues ?

    • @rotwiler7674
      @rotwiler7674 2 หลายเดือนก่อน +2

      @gobindkumar2723 Been about 3 months. Everything has been perfect. There was burning 🔥 feeling for a few days after, then random mild burning. Now is perfect. To pee 1/4 cup before would take me 2+ minutes and my bladder would spasm. Now 1/4 is done in 3 seconds. I was told have have a few more, but I passed a large kidney stone about 5 weeks ago and came out instantly. So think I am good for now. Before this, I had a few times I couldn't pee, probably from small kidney stone blocking, that was horrible.

    • @GOBINDKUMAR-uj3jx
      @GOBINDKUMAR-uj3jx 2 หลายเดือนก่อน +1

      ​@@rotwiler7674happy for you my friend. I too take 120+ seconds to pee 150-200ml and I never feel fully done. I had kidney stone stuck which caused me stricture. Thinking to go for optilume balloon

    • @rotwiler7674
      @rotwiler7674 2 หลายเดือนก่อน

      @GOBINDKUMAR-uj3jx I had a kidney stone stuck between my bladder and kidney, causing kidney to backup and almost stop working. After the optilime procedure, stone passed about 3 weeks later, easily. Would be no way to pass it before the surgery. Do it, was scarey, but best thing. I was getting stones stuck and dealing with having to pee all the time, never getting good sleep etc, now is better than before the strictures. I have more strictures, but they don't seem to be causing issues.

    • @GOBINDKUMAR-uj3jx
      @GOBINDKUMAR-uj3jx 2 หลายเดือนก่อน

      @@rotwiler7674 even I have kidney stones. This stricture I got coz of kidney stone last year in July month.
      If you have more structures when didnt you get all of them treated at once buddy?
      And how come the stones moved out if you have more structures in urethra?

  • @paulsdrc
    @paulsdrc ปีที่แล้ว +8

    Wow,i’ve had almost everything he mentioned. New uro couldn’t believe what I have gone through, cutting scar tissue every six months for the last 9 years. My new doc did the cut with the chemo injection, she told me it usually takes two procedures to be effective, the first one has lasted a year.

    • @glenbearh9109
      @glenbearh9109 ปีที่แล้ว +1

      Thank you. I am going to see a Columbia doctor on the 28th. He is a specialist with an office in Tarrytown (usual office had a bad water pipe break-cannot make this up) anyway, my urologist tried to scope me but the stricture was large and he did not want to go past it into the bladder. I had a few smaller ones further down. Maybe because of SBRT radiation. I am very very afraid of getting retention because I had it a couple of years ago when having IMRT so I stopped and went on to SBRT I pray they can help.

    • @glenbearh9109
      @glenbearh9109 ปีที่แล้ว +1

      I'd take a year! Had the dilation and all is well right now.

    • @glenbearh9109
      @glenbearh9109 ปีที่แล้ว +1

      great

    • @glenbearh9109
      @glenbearh9109 ปีที่แล้ว

      Started to bleed again. I do not care unless it causes retention

    • @nzearimo
      @nzearimo ปีที่แล้ว

      @@glenbearh9109 Do you know the cause from your biopsy?

  • @jackrook3847
    @jackrook3847 ปีที่แล้ว +1

    Thank you for this most informative post.

  • @holly0604
    @holly0604 2 ปีที่แล้ว

    Thank you for the video
    How often occur a structure in REZUM ?What is the correlation between age and duration
    For example the catheter was 5 days in how often there is that side effect ?
    Thank you so much
    Greetings Holger

    • @MediFind
      @MediFind  2 ปีที่แล้ว +1

      Hi Holger - Thanks for watching! We suggest getting in touch with Dr. Brandes' team to discuss your specific health questions. You can do so here: www.medifind.com/doctors/steven-b-brandes/20902999

    • @IAmTheEggMan111
      @IAmTheEggMan111 7 หลายเดือนก่อน

      You had a catheter for 5 days after Rezum? That’s pretty intense