Urology :: Recovering From TUIP

I'm only 27 and had an appendectomy a few weeks ago for perforated appendicitis with peritonitis. Following removal of the catheter, I couldn't urinate. They said it would get better, but three days later I went home with a catheter. 1200ml urine was drained. The surgeon suspected urethritis with a spasm of the bladder sphincter.

I was hospitalized 2 days later, and a Urologist told me to wait a few more days. We waited 4 days and there was not much improvement following catheter removal. Further diagnostics were performed. Urodynamics showed a severe obstructed flow and bladder outlet obstruction. CT showed a mildly heterogeneous prostate: prostration and urethritis.The Urologist concluded I had a stricture considering I was having a split urine stream for as long as I could remember and an epididymitis episode 3 months prior.

Cystoscopy was performed and a small incision was made at the bladder neck. I was catheterized for 5 days and after it was removed, the flow was much stronger than I can remember. I had some bloody discharge for the first 10 days. That was followed by lots of bleeding and clots in my urine for the next 15 with burning upon urination. I was given antibiotics. Bleeding stopped at 4 weeks. I have had two wet dreams so I don't have retrograde ejaculation which was a big concern.

Now my only worry is erections. I had really strong nocturnal erections in the first few days (even with the catheter). However, erections were painful in the sense my urethra felt like it was on fire. These erections woke me up several times at night.

The pain at night subsided but now I find that my morning erections are not rock hard. Sometimes, when I touch my erect penis, the burning pain stings. I get erections through stimulation too. But sometimes, especially when I touch my penis it hurts. I really haven't tried to achieve a full blown erection because of this fear. This burning pain occurs when I'm flaccid but that is rare. Sometimes, I also get a dull pain in the tip of the penis. In fact, my whole system feels "sore" as if I had sex only a few hours ago. It's been almost 5 weeks. I had contacted my GP when the pain first started and Urologist a few days later but they don't think much of this. I can't seem to find anything about this online.

Once I can get pain-free rock hard erections, I'll be much happier to have had the surgery since my urinary symptoms have improved. I had never considered a slowish split stream to be a problem before.