Benign lesions from HPV and gonorrhea are hard to get rid of. Antibiotics can often keep them under control. These urethral lesions often come back and need to be treated again.
Both dilation and internal urethrotomy treatment have a high chance of strictures coming back. This depends on the length of the stricture. Shorter strictures mostly do better than longer ones. Many studies suggest that daily, intermittent catheterization for up to 3 months after the treatment may help keep the stricture from forming again.
Problems with urethroplasty are:
- stricture coming back
- lower extremity problems due to longer surgery times (this is rare)
Before taking out the catheter after surgery, your urologist will likely order a voiding cystourethrogram. This x-ray study of the urethra will show if it's healing the right way.
Your urologist will often follow up any stricture procedure with repeat clinic visits, a physical exam, and questions. He/she might also do a test to check how fast your urine flows and the force of the urine stream. Repeat radiographic studies (retrograde urethrograms) are often done 3 and 12 months after a urethroplasty to see if the stricture has come back. While most strictures form again within a year of surgery, they've been known to show up as long as 10 years later.