Urology Questions? Ask a Urologist for Answers ASAP
The flow of the urine is okay when I have a lot of fluid in me and it is hesitant and intermittent when there is less fluid in me.
There has been no blood in my urine, except for my very first urination after my cystoscopy, in which is was a light pink for about the first second of the urination.
I do not have a fever.
I have not had a urine test since the cystoscopy. Prior to the cystoscopy, urinalysis and culture came back negative.
How long could inflammation from the procedure last? It seems like 9 days would be a long time.
Thank you. My final question is: Would the doctor have seen on the scope if he did manage to create a small cut or trauma in the urethra? Is that checked for before the cystoscopy is finished?
This is my final 2 question for you:
1. If you have scarring/stricture, can you produce a good flow at any point, or will the flow always be slow? I ask this because I have a strong flow when I have to urinate a lot, but a weak flow when there is not too much urine. Can stricture be ruled out by those means?
2. Would the catheters and scope instrumentation WITHOUT producing blood still be a possibility of scarring? Or would blood have came out if I was significantly damaged enough to receive a scar?
Hello, while all my symptoms seem to have gone away, one thing remains. It may be something that I just have not noticed before.
When I urinate, the stream slants slightly to the left. There is no spraying. There is no double-stream. Just a bit of a slant to the left. I am circumcised.
Is this a problem of the urethra? Is having some slant normal or is it a sign of narrowing or stricture of urethra?
Dr. Tharun, My urine stream and flow is normal throughout the day, but once I go to sleep and then wake up, my first urination is a struggle. It is hesitant and intermittent. The following urinations of the morning will be normal, but frequent, and then taper off as the day goes on and become normal. Why would this first urination of the morning hours be very difficult? Any insight?
(My digital rectal exam came back fine, as did cysto, and urinalysis, but I was told my bladder is overactive. I can currently hold about 8 ounces before I must urinate, which is an improvement from where this began.)
Do you have any insights as to why I would have a normal stream of urine, then after completion, sometimes, when I push to get out the remaining bits of urine out, instead of a less powerful stream, it will squirt in a needle-thin stream for a couple of seconds? This doesn't always happen. Can it be a muscle tightening issue that does this? Something else?
Kind regards and thank you.
Okay, thanks. And should the urine stream typically be thinner when you have less to go? Or should the thickness always be the same? I find my stream to be thin when there is around 4 ounces in me, but normal when there is 8 or more.
HI again,Urine flow decreases towards the end of urination as the bladder pressure decreases. Hence the urine may split towards the end and is a normal phenomenon. If you have to strain to pass urine , then it is abnormal.
As long as straining is not present, it is normal.Dr.Tharun