Questions posted in the
The Urology Forum have been answered by urologists from Henry Ford Health System and by Dr. Kevin Pho.
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Subject: Re: Urethral Dilation I have had recurrent UTI's since July 1997 and have taken 7 or 8 different antibiotics. They never go away. I have had numerous tests and am scheduled for urethral dilation this week as last ditch resort. I have also recently been prescribed mandelamine. Not sure what to do. ---------------------------------------------------------------------------- Dear Carla, Your question is one that comes-up frequently. Urethral dilatation is an old urologic practice that has not been scientifically proven. Rarely, a true urethral stricture is found. This requires calibration and probable reconstruction. If you have had infections that do not get effectively treated (cultures during and after treatment are still positive for the same bacteria), then an IVP and cystoscopy and possibly even a urethrogram may be indicated. If your infections are really new infections, prophyllaxis with nitrofurantoin either on a continuous basis or, If related to sexual activity, on an episodic basis are reasonable ways of dealing with this. Good luck! This information is provided for general medical information purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. The Henry Ford Hospital Department of Urology has experience in the evaluation and treatment of problems such as you describe. We would be most interested in helping you. You can reach us through our toll-free number (1-800-653-6568). We can also arrange local accommodations through this number if this is your need. Please bring any x-rays [and pathology slides] (not just the reports) as well as any physicians notes and lab test results that you may be able to obtain. These will help us greatly. HFHS M.D.-SAL
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