sas_cars Posted July 12, 2019 Share Posted July 12, 2019 I'm a 38 year old male. I was having frequent urination problem since last 3/4 years which recently became worse as me having to wake up in the night up to 4-5 times. Yesterday I had an appointment with a Urologist at Vibharam Hospital. They checked the urine and it was cleared for any infections. He said he thought I probably had Urethral Stricture and not BPH aka enlarged prostate since I am too young for that? He said he needed to insert camera to check the blockage and to confirm the diagnose whether I indeed have urethral stricture, and he said the insertion would be a bit painful procedure, which I said let me think first. For the time being, he suggested me to take Tamsulosin which is sold as Harnal or Uroflow here in Thailand. I have some questions, what's this insert camera procedure called? And where it's inserted? And if indeed is urethral stricture, what are the best treatments available for it? Is surgery the only option or medication can help too? Thanks a lot Link to comment Share on other sites More sharing options...
bkk6060 Posted July 12, 2019 Share Posted July 12, 2019 Yes. They stick that camera tube up your penis... But, you seem way to young but you never know. Surgery. You serious?? No way.... What is your alcohol consumption? Are you on any or numerous medications/opiates? Are you drinking a lot or whatever even water late at night.? Have you had STD cultures? If there are some lifestyle habits you question about yourself, stop for awhile and see what happens. Otherwise, have the camera check and gut it out. Good luck. Link to comment Share on other sites More sharing options...
Sheryl Posted July 12, 2019 Share Posted July 12, 2019 https://www.mayoclinic.org/diseases-conditions/urethral-stricture/care-at-mayo-clinic/mac-20362386 The camera insertion is called cystoscopy. A local anesthetic is used to numb the urethra. If stricture is confirmed, best to be treated by a urologist with significant experience in that problem. I don't think prostatitis (a more likely cause in someone your age) can be ruled out if all they did was check a urine sample. If you want another opinion, and a clear discussion of your options, go see Dr. Viroj at Bumrungrad https://www.bumrungrad.com/doctors/Viroj-Chodchoy Bring lab report with you so as to avoid repeating same test Link to comment Share on other sites More sharing options...
sas_cars Posted July 12, 2019 Author Share Posted July 12, 2019 https://www.mayoclinic.org/diseases-conditions/urethral-stricture/care-at-mayo-clinic/mac-20362386 The camera insertion is called cystoscopy. A local anesthetic is used to numb the urethra. If stricture is confirmed, best to be treated by a urologist with significant experience in that problem. I don't think prostatitis (a more likely cause in someone your age) can be ruled out if all they did was check a urine sample. If you want another opinion, and a clear discussion of your options, go see Dr. Viroj at Bumrungrad https://www.bumrungrad.com/doctors/Viroj-Chodchoy Bring lab report with you so as to avoid repeating same testThanks a lot for the explanation Sheryl. I just read about cystoscopy on the internet and it seems there are 2 types of it. Flexible and Rigid, of which flexible is not painful. What kind of cystoscopy is done in thai hospitals usually? Thanks for the recommendation of Dr. Viroj. However, since he works in one of the most expensive hospital in the city, I am not sure I can afford to treat myself in that hospital? Sent from my SM-G975F using Tapatalk Link to comment Share on other sites More sharing options...
NCC1701A Posted July 12, 2019 Share Posted July 12, 2019 34 minutes ago, sas_cars said: Thanks a lot for the explanation Sheryl. I just read about cystoscopy on the internet and it seems there are 2 types of it. Flexible and Rigid, of which flexible is not painful. What kind of cystoscopy is done in thai hospitals usually? Thanks for the recommendation of Dr. Viroj. However, since he works in one of the most expensive hospital in the city, I am not sure I can afford to treat myself in that hospital? Sent from my SM-G975F using Tapatalk I can tell you doctor Viroj is great. They did a ultrasound of my prostrate right away, blood PSA tests plus two doctor visits. Results at 9am the next morning. Total cost about 7500 baht for everything. at least you will have a second opinion. Link to comment Share on other sites More sharing options...
mike787 Posted July 12, 2019 Share Posted July 12, 2019 If prostate is enlarged enough it feels like you might be sitting on golf ball. Do you have that sensation? Have PSA level checked. Link to comment Share on other sites More sharing options...
SheungWan Posted July 12, 2019 Share Posted July 12, 2019 Rigid cystoscopy is done under general anaesthetic. Larger diameter than flexible cystoscopy. So, its a knockout followed by strong painkillers. Sounds more dramatic than it is. Sent from my SM-N935F using Thailand Forum - Thaivisa mobile app Link to comment Share on other sites More sharing options...
Sheryl Posted July 13, 2019 Share Posted July 13, 2019 13 hours ago, sas_cars said: Thanks a lot for the explanation Sheryl. I just read about cystoscopy on the internet and it seems there are 2 types of it. Flexible and Rigid, of which flexible is not painful. What kind of cystoscopy is done in thai hospitals usually? Thanks for the recommendation of Dr. Viroj. However, since he works in one of the most expensive hospital in the city, I am not sure I can afford to treat myself in that hospital? Sent from my SM-G975F using Tapatalk Either type may be doen depending on need. I was suggesting Dr, Viroj just for a second opinion. It may actuall ysave yo umore money than it costs. Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.