Recommendation after VIU and Urethral dilatation

Diet You may return to your normal diet immediately. Because of the raw surface of the stricture alcohol, spicy foods and drinks with caffeine may cause some irritation or frequency and should be used in moderation. To keep your urine flowing freely and to avoid constipation, drink plenty of fluids during the day

Activity Your physical activity is to be restricted, especially during the first two weeks. During this time you should not lift heavy objects (anything greater than 20 lbs), take long car rides, perform strenuous exercise, or engage in sexual intercourse. Minimize severe straining during bowel movements by using a laxative if necessary.

Maintain genital hygiene

Time frequent voiding

Double voiding

Sexual Activity If you were sexually active prior to your surgery, you can resume normal sexual activity after 2 weeks after the catheter is out. Incision of the stricture usually has little effect on a man’s potency, orgasm, or ability to sense orgasm. There may initially be some burning with ejaculation.

Bowels It is important to keep your bowels regular during the post-operative period. The rectum and the stricture are next to each other and any very large and hard stools that require straining to pass can cause bleeding. Use a mild laxative if needed and call if you are having problems .

Self Catheterization
Because optical internal urethrotomy/ balloon dilatation is a temporary measure for treating urethral stricture disease, we will teach you how to catheterize your bladder (self calibration) to help keep the stricture open.

Keep catheter in clean dry plastic box

Do self calibration as demonstrated in ward

Regular self calibration with ___ fr catheter once a ___ without fail

Medication You should resume your pre-surgery medications unless told not to.

Continue antibiotic and stool softeners/laxatives, as prescribed.

Avoid nephrotoxic agents. Call if you have any side effects.

In case of any medical co morbidity, continue medicines as per physician advice

Problems You Should Report To Us:

1.Fevers over 101.5 Fahrenheit

2.Heavy bleeding, or clots that block the catheter

3.Inability to urinate

4.Drug reactions, hives, rash, nausea, vomiting, diarrhea

5.Severe burning or pain with urination that is not improving.