hello, i too am a 22 year old male, i had a urethrotomy done yesterday morning to releive a stricture i am sure i have had from birth too, always had a less than average stream which got much worse back in august 2013 and even worse a couple months ago, was down to an average of 1.8ml a second, but now, wow, i have never experienced such a strong stream since after the procedure. must be like 25-30ml a second now.
i had a short but severe bulbar stricture apparently, i woke up about 2 hours after being put to sleep, to find the cotten disposable underwear with the pad in pretty much soaked in blood, my entire pubic area with dried blood staining, and my 1st 2nd and 3rd urinations after being transferred to the recovery room were far more blood than urine, and the following 5 urinations were still at least half blood, i was in the recovery room for 7 hours as they were short staffed and couldnt get round to discharging people fast enough i think. for a couple hours i experienced what iv very recently learnt to be called hypovolemic shock, i must of lost a litre of blood in the recovery room through what had soaked into the underwear and blanket and what i had peed out, but i think i was thought of as to be exaggerating by the nurses, there are 4 stages of hypovolemic shock, and from what i noticed i matched stage 2 100% and stage 3 about 30-40%. average male adult has about 5.2 litres of blood, los of 2 litres is close to death :S
the assisstant surgeon who i am still not sure as to whether he himself did the cutting or was an assisstant to the urologist i have been seeing for consultations and diagnosis precedures, came to see me very....very breifly after id been in the recovery room about 5 hours, he said that they had to dilate the opening, did the urethrotomy, had a look into bladder, then sort of scurried away before i could ask any questions, the original consultant urologist who has been dealing with me i didnt see after the morning consultation before the op where he explained it all to me to make sure i was still up for the procedure.
the nursing staff in the morning in ward 27 at york hospital were all very nice and kind, even sloppy, as i was very anxious. but i can't help but feel as though the staff in the afternoon and eavning in a different section of the hospital were just wanting to get me out the door asap and wern't as bothered about my complaints of blood loss and appropriate signs, i know they were understaffed and behind scheduale but still, someone who has haemophilia (a bleeding condition) complaining of blood loss....surely that should ring alarm bells. but basicly they discharged me as soon as i could walk on my own, i was very happy with the morning staff, but the afternoon / eavning staff made me wonder on work ethics.
i never got a catheter, i have been peeing straight through the cut for the last 30 or so hours, pain is slowly going away, had to buy some painkillers and stool softeners from a local chemist as i didnt get given anything from the hospital. the consultant said he didn't like putting catheters in as they can be painful and cause more damage, since this morning iv had no pain during urination, but a 5 second delay after finishing and it was excruciating for about 20 seconds in the opening because of the dilation needed to make it possible to get the scope in.
did you get a self dilation regime to help stop the stricture coming back? i was told in the morning before my op i would need to self dilate, but when being discharged the nurse said there was nothing in the notes and because of that i didn't need to.
im going to make a full experience discussion on here if you'd like to read it, i don't want to be putting everything on this reply haha.