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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Weak Urine Stream After Undergoing Urethroplasty?

Hello, I am a 33 year old male, i had a urethroplasty done 12 years ago and experienced no complications since until now. I have a weak split urine stream. It is painless. I noticed the problem roughly 3 months ago and went to the doctor roughly 1 month after the problem seemed to be getting worse. i had a UTI and took the antibiotics prescribed to me. the infection cleared but the problem only improved marginally. i am to undergo a cystoscopy and i am very frightened that i will have to undergo another urethoplasty. I think it is unlikely that it is prostatitis and i am just hoping that there can be another explanation.
Wed, 18 May 2016
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Urologist,  's  Response
Hello and welcome to HCM.
As an Urologist,i can fully understand your concern.
After an urethroplasty,the commonest complication is a stricture.
A stricture is a narrowing of the urinary tube,where urethroplasty was done.
That's the cause for your symptoms.Tests for finding cause of stricture are :
1. Blood routine,creatinine,RBS,LFT,platelets,VDRL,HIV,and HbsAg.
2. After this,a urethro-cystogram and cystoscopy if needed.
Prostatitis isn't a cause for your symptoms. Cystoscopy is a routine test.
If you've any doubts,you can send me a direct question,with reports.
Dr.Matthew J. Mangat.

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What Causes A Weak Urine Stream After Undergoing Urethroplasty?

Hello and welcome to HCM. As an Urologist,i can fully understand your concern. After an urethroplasty,the commonest complication is a stricture. A stricture is a narrowing of the urinary tube,where urethroplasty was done. That s the cause for your symptoms.Tests for finding cause of stricture are : 1. Blood routine,creatinine,RBS,LFT,platelets,VDRL,HIV,and HbsAg. 2. After this,a urethro-cystogram and cystoscopy if needed. Prostatitis isn t a cause for your symptoms. Cystoscopy is a routine test. If you ve any doubts,you can send me a direct question,with reports. Dr.Matthew J. Mangat.