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Center for Reconstructive Urology
Приєднався 29 гру 2010
This channel delivers insightful interviews and experiences or every-day people who have battled with some form of a urethral stricture disease or urologic condition. Learn what these individuals endured, what specific complications they faced and how the right surgery or treatment was provided so they can carry on with normal lives.
Dr. Gelman is a Board Certified Urologist, the Director of the Center for Reconstructive Urology and an Associate Clinical Professor in the Department of Urology at the University of California, Irvine. He has performed over 800 urethral-penile reconstructive surgeries, and his practice is limited to his area of expertise in male urethral and penile/genital reconstructive surgery. Dr. Gelman is listed by US News and World Report as one of America's Best Doctors and one of America's Top Surgeons (Consumer Research Council). He can be reached for a consultation by calling (714) 456 2951.
Dr. Gelman is a Board Certified Urologist, the Director of the Center for Reconstructive Urology and an Associate Clinical Professor in the Department of Urology at the University of California, Irvine. He has performed over 800 urethral-penile reconstructive surgeries, and his practice is limited to his area of expertise in male urethral and penile/genital reconstructive surgery. Dr. Gelman is listed by US News and World Report as one of America's Best Doctors and one of America's Top Surgeons (Consumer Research Council). He can be reached for a consultation by calling (714) 456 2951.
Bulbar Stricture
This gentleman suffered a straddle injury and was managed for 30 years with painful dilations and self dilation. When, after years of suffering, he was advised to consider surgery at the Center for Reconstructive Urology, he believed that surgery was drastic and continued with dilations until he simply could not be managed this way further. He then came to our Center where he underwent a successful surgery. by Dr. Joel Gelman. Many patients falsely believe open urethroplasty is a drastic painful procedure, but as Mr. C. M. explains, having the surgery is the best decision he ever made and he now urinates normally. If you have a urethral stricture and have questions or would like to schedule a consult, contact the Center for Reconstructive Urology - www.centerforreconstructiveurology.org.
Переглядів: 9 400
Відео
BXO Stricture
Переглядів 5 тис.7 років тому
Urethral stricture can be caused by a disease called Balanitis Xerotica Obliterans (BXO), also called Lichen Sclerosus. This stricture often starts at the urethral opening, and when there is a delay in diagnosis and effective relief of the obstruction, the stricture can progress to destroy the entire anterior urethra. When this man was referred to Dr. Joel Gelman, M.D., of the Center for Recons...
Failed Penile Flap
Переглядів 1,8 тис.7 років тому
This man had a urethral stricture know as a bulbar urethral stricture. He was treated with numerous dilations, 4 failed laser internal urethrotomy surgeries, and then a failed open urethroplasty using a skin graft from his arm. He then had a penile skin flap surgery. His legs, while in stirrups developed a blood circulation complication called compartment syndrome where large deep cuts were nee...
Posterior Urethral Disruption
Переглядів 1,1 тис.7 років тому
This man required that a tube be put in his bladder after a horrific car accident immobilized him and made him unable to urinate from a severed urethra. He should have had surgery to repair his urethra no later than 3 months after the injury. However, his insurance denied authorization for treatment. Over 9 months, he continued to suffer with a tube as his insurance "re-directed" him to multipl...
Urethroplasty
Переглядів 9 тис.7 років тому
Urethroplasty is a surgery intended to repair any injuries sustained or defects within the walls of the urethra to allow for easier and pain-free urination. Urethroplasty procedures are not considered minor and typically result in a few hospital day stays. There are different types or methods deployed for a urethroplasty that you can explore more by calling or visiting the Center for Reconstruc...
Urethral Obliteration
Переглядів 7387 років тому
This man suffered from urethral stricture disease for decades as was treated with countless dilations and 31 direct vision internal urethrotomy procedures (DVIU) under anesthesia until his urethra became totally obliterated and he required a drainage tube in his bladder. He was then referred to the Center for Reconstructive Urology where he underwent a highly complex successful urethroplasty an...
Stent Urethrotomy Failure
Переглядів 4677 років тому
This man battled with a urethral stricture for many years with catheterization and dilation. Diagnostic urethral imaging was never performed prior to his surgical treatment. During a failed attempt at an internal incision, he suffered from a severe internal bleed in his urethra that he required 2 weeks of hospitalization and a blood transfusion. He then underwent a failed urethral stent placeme...
Straddle Urethral Trauma
Переглядів 3607 років тому
Robert suffered a straddle injury and underwent over 20 surgeries over a period of decades including dilations, incisions (called direct vision internal urethrotomy), open surgery, and a stent. All surgeries failed. He was referred to the Center for Reconstructive Urology. He underwent a successful re-do urethroplasty 10 years ago (at the age of 76) with stent removal and was finally permanentl...
Radiation Urethral Stricture
Переглядів 1,4 тис.7 років тому
Urethral stricture can commonly occur after radiation for prostate cancer. This developed a severe recurrent stricture after battling prostate cancer and required numerous visits to the emergency room for an inability to urinate. He was repeatedly dilated, but these dilation only offered temporary relief. Ultimately, he required a suprapubic tube (a drainage tube placed directly in the person's...
Penile Implant
Переглядів 13 тис.7 років тому
A man developed an abnormal prolonged erection called Priapism. Blood was trapped in the penis, and he required a shunt to drain the blood. However, he subsequently developed erectile dysfunction and underwent a penile implant that became infected and eroded through the tip of the penis. This was later removed leading to severe scarring of the penis. The patient then visited with 10 different U...
Pediatric Urethral Injury
Переглядів 1,7 тис.7 років тому
A young infant boy underwent surgery for a disease called Hirschsprung's Disease at a Texas Hospital. After the surgery, a catheter was inflated in his urethra and he developed a tear of this urethra and rectum. He required a tube in his bladder and a colostomy for the majority of the first year of his life. Caiden travelled to Orange County, California with the support of the Texas hospital, s...
Insurance Complication
Переглядів 3207 років тому
Hear the story of a man's struggle with urethral stricture and other urological complications. His issues felt more complicated as a result of his limited insurance coverage issues he faced along with his urological health issues. Do not allow your personal health and comforts be sacrificed over the concern of feeling insurance coverage will restrict or prevent treatment of this nature. Take co...
Hypospadias Treatment
Переглядів 3,3 тис.7 років тому
Hypospadias occurs as a birth defect in boys in which the urethra, (the tube that carries urine from the bladder to outside the human body) does not form properly or forms on the underside of the penis or near the scrotum. Hypospadias repair will be surgically performed on a young infant and sometimes may not require an overnight stay. It is a common birth defect but is best performed by an exp...
Hypospadias Repair
Переглядів 5 тис.7 років тому
After 6 failed surgeries at a Children's Hospital beginning when he was an infant, he had severe urethral stricture disease involving the entire anterior urethra and other complications. He was eventually referred to the Center for Reconstructive Urology by his Pediatric Urologist where he was successfully reconstructed with a 2 stage urethroplasty to rebuild a new urethra.
Adult Hypospadias
Переглядів 3,6 тис.7 років тому
Adult males often can still suffer from Hypospadias, a condition where the urethra was not completely formed at birth. This man underwent numerous failed open surgeries, dilations with sounds, and direct vision internal urethrotomy procedures, leaving him with recurrent infections and urethral strictures. He was referred to Dr. Gelman, who repaired his urethral stricture and hypospadias with a ...
A Urethroplasty resolves a sufferer of Urethral Obliteration
Переглядів 5 тис.11 років тому
A Urethroplasty resolves a sufferer of Urethral Obliteration
Man's Story of a corrective Penile Implant Surgery
Переглядів 4,5 тис.11 років тому
Man's Story of a corrective Penile Implant Surgery
Urologic Treatments Inspite of Insurance Complications
Переглядів 7711 років тому
Urologic Treatments Inspite of Insurance Complications
Parents discuss resolving Hypospadias surgeries and treatments for their son
Переглядів 6 тис.11 років тому
Parents discuss resolving Hypospadias surgeries and treatments for their son
Failed Open Urethroplasty & Penile Skin Flap Surgery
Переглядів 4,8 тис.11 років тому
Failed Open Urethroplasty & Penile Skin Flap Surgery
Most the time you don't even know what caused it
Walker Michelle Lee Brian Gonzalez Mary
Wow!!! Amazing video… I’m going to get this done in a few weeks time…. Great insight.
20 years old been through 7 surgeries so far
Thik hua hypospadias
T this video really hits home growing up with this...the secrecy and embarrassment and not having your parents explain why its like this was terrible. Thanks for sharing this story
I had an hypospadias and got operated three months ago, it only took one surgery to fix it, now it looks almost like a normal penis and I have no pain or anything left. Ask ur questions if u want
Very good, so this action can be good and positive. I am happy, thank you for your positive and good news. My son is four months old and has this problem.
What was the type pf hypospadias ? And what was ur age when u got operated on ?
Who was ur surgeon?
@@gadgetworld3312 I had a glandular hypospadia and I got surgery when I was 20 years old.
@@benm5312 His name is Reynaldo Gomez, he is one of the best worldwide. www.linkedin.com/in/reynaldo-gomez-illanes-03224239/?originalSubdomain=cl
There is nothing to add to this gentleman's comprehensive and articulate testimony. I traveled from Virginia to see Dr. G for a hypospadias related stricture this passed December 2023 and am so happy with the results. Even though insurance was insufficient and i paid out of pocket, it was well worth it. If you're on the fence, stop wasting time and go see probably the world's finest surgeon for people like us. He's a gift from God and a man whose hands and heart are immensely blessed. Go and go now.
Ditto and Amen! Dr. Gelman is the Michelangelo of surgeons. I had hypospadias repairs done as a child that in short, lasted until 2023. Dr. G restored my urethra in December 2023 and like this testimonial, I had no pain. During my initial phone consultation, Dr. G told me he wasn't going to hurt me and I was sold. He knew without me having to tell him that I endured great pain physically and emotionally. He is a blessing and gifted by God in his hands and heart. What a wonderful and rare human being that serves people like us. I just can't say enough about this talented man. Kudos to his staff as well; Denise, Eric and Henry in particular.
Age27 Bulbur structure 1cm Urethrotomy 2020 After one year again low stream urine. End to end urethroplasty after 10 days of catheter removal again low urine stream. Plz advise?
I got operated from hypospadias at 20 y/o (one week ago), ask ur questions
Je suis née avec le sex qui fonctionne bien mais à l’érection il est courbé comme une banane et penché totalement sur le côté sur le côté,cela rend les rapports sexuels difficiles et pénibles .que faire dans ce cas ?
@@lasainteteveritabletv6031 There are a few surgeries for that kind of problem, if intercourse is being painful, you should definitely see an urologist.
Can you communicate with you please 🥺🥺
@@lasainteteveritabletv6031 Cela n'a pas grand-chose à voir avec l'hypospadie ou sa chirurgie, j'ai peur que pour ce genre de difficultés on fasse une autre procédure qui implique l'extraction de tissus pour redresser le pénis, consultez votre urologue
@@eslamnaeem7899 sure, ask ur question
Watch out kids with this and pain when urinating is not good. Means bacteria. Can harm kidneys!!!
This genuinely helps. Thank you for sharing.
wow 🤗
Medicine is backwards it’s not developing for mens problems!
Wow this helps me so much you don’t even know. I’m 19 years old and I accidentally shot myself in the penis and I’ve gone through many surgeries already and the whole middle part of my urethra is done for, and they’re going to have to recreate the middle part and take skin from my left cheek and right cheek in my mouth and from what I gathered I think I have to heal for another 6 months with my penis split open after being down since december of last year…
Dr. Gilmon .i hope u are here in the Philippines.... Please help me...i suffered so much because of this strictures 😢😢😢
Nkpg paopera ka na???
@@elsonbenito hindi pa until now tagal na nga po eh baka matulungan nyo po ako
Anong last check up sayo?
I can relate to each and every thing which this guy spoke about. The same story goes for me as well but with a different doctor.
How did you overcome this?
My husband have hypospadias. He never had surgery. We thought we won't be having a baby but then now I'm 6 months pregnant😂 God is good 😊
What stage of hypospadias?
@@christiangutierrez5378 midshaft
and in terms of penetration it’s not too complicated? I don't know what it will be like when I have a girlfriend 😪, can you reassure me please?
Like me and my Wife 😊we have 2 little boy but the last one has it😢
@@veedeguzman5431really this gave me hope❤
so inspired by this man , strong resilient guy , happy for him
Step one get a female reconstructive surgeon, unless you like pain. ask if they do mitomycen injections. I’ve had over 40 treatments for strictures. My doc told me it might take two treatments to be 100%, it’s been a year and only had less then 50% regrowth. If any uro says they want to do an in office dilation with a local insist on sedation, if they refuse smile and tell them they are fired.
I wish I could tell my story after undergoing two urethral stricture surgery
You had two urethroplasties? What was the final result?
I had a dilation a month or so again and I hope it holds the stricture. I hope if I need another one that I can try Optilume. My doctor said sometimes the dilation works. Yes I had retention once and it was hellish. That was after 7 IMRT sessions and the catheter led to a paraphimosis which is another level of hell. Now after SBRT two years ago, Stricture in the bulbar area-Oh the joys of Pca
I literally just peed when he said he just pulled in out...😮
It’s worse. I rather be missing a leg than not being able to have sex. Especially since i have a lot of sex with a few women.
I'm struggling this at the age 24
I’m sorry you had to go through all that! I’m dealing with strictures from the Holup procedure. So Can’t empty my bladder completely. All I had was BPH now this!
I had SBRT over a year ago but continue to have hematuria with clots. I have had retention in the past and it hurts like heck. I see the specialist next week. During the cysto the doctor saw a large stricture in the bulbar area. I am so scared of getting retention.
How many years urethroplasty work successfully... For how many year
it's like 90% and forever my brother.
Good luck. I was about to go to the ER when a spasm happened and clots came out along with a lot of urine. A cysto revealed a stricture and Dr was unable to view the bladder so I need another "hard" cysto and surgery on the stricture
As a man that is diagnosed with hypospedias. and have the so called '' penile opening midsaft''' what i would prefer to as a mid version of the condition. i would say that it is a bummer that i cant take a leak standing up. but one thing i can tell you is that we are the chosen ones. One in every 200\300 newborns have this condition. We are rare, special and blessed. keep your head up kings.
Always find a positive in it m8, most hypo guys have big defined mushroom tips n woman love it
Kidding me? This shit wrecked my whole life.
@@oneldelorbe1413 don't let it define you, more to life than just our cocks brother
I felt insecure about it my whole life don’t feel special
This killed me inside and I'm still suffering,😭😭😭😭
Where is this. Urologist? Been suffering with stricture. And narrowing for yrs becuase. Of chronic catheters.. ive got the interstim now but needs replacing.
Go see urologist nearby and get tested.
Sending you love & healing. I have a dear friend struggling with this with his son. Do you feel any pain & has it affected you love life?
Is there a way I can fix my hypospadias penis that way it’s not like that anymore
Where is the Dr located? Which country is this story from..very interested.
I’m sorry you went such hell. I had BPH in my late 60’s I had the Holep procedure with a Medium lobe. Probably in getting the Medium lobe out they might have cut the Bladder neck or the stricture was already there. Not sure! It is a 2cc stricture but I still can’t empty my bladder! So back in to fix the bladder neck Constriction. I hear it is a 10 minute job to fix , I will probably have to deal with a catheter for a couple of days then it will come out. From what I seen on UA-cam I might have to self catherise once a night for a week the slow stop that. I will know for sure after I talk with the doctor. I hope you continue to improve! Thanks for your UA-cam mine will be nothing compared to yours.
Western medicine sucks
I seriously had no idea this existed and that it even could exist. God bless anyone who has this
Actually it’s a god curse.
I'm 47 I have urethra bulb stricture l need help now I'm using bluder super pubic catheter that means I can't pee naturally
How are you present time pls tell me your 5 year experience
Dies it effect sexual life with out surgery plz help me my husband born with hypospadias
Whats his age?
@@fiazali6397 23 years
Is there any chances of my pregnancy without surgery
Yes depend on stage
@@fiazali6397 how plz explain it's my big problem
how are you doing now?
Did you have any complications after the surgery? Any ED issues, or penis sensitivity? I read those issues can occur in the small number of patients.
Stop thinking about Ed or sexual problem when talking about urethral stricture. Think about u need to pee properly without any difficulty or pain. And u need to pee a few times every day. Sex with stricture is no fun. Fix the main issue.
Failed urothroplasty not to expect need new treatment plans
Good to know there are more men like me. I have hypospadias to, had surgery when i was 4 or 5, doctors said it would all be alright when i was older. Not..... 😔 I am unfertile, and it is micro. I am now 38 and struggling with it big time, i have had dated girls most of them just laughed at me. And now i am really struggling with finding a girl/women, afraid how they react. 😭
Don't rush for it enjoy your life. My husband has it. We both didn't know he had this surgery. His mom never told him. They kind of literally forgot. He is infertile. I tried lot of treatments,it didn't help. I just wanted to say have patience the right woman will come that will heal your wounds not made them worse.
I’m so sorry, life is so unfair, my husband was born with this condition he had the urethra in the wrong place, cordee and undecended testicle, he doesn’t have a micro penis but he struggled all the same 😢 the reconstructive surgery fixed the issue of not urinating properly but aesthetically it’s not great, he was very self conscious of it and was terrified of women laughing at him he has struggled with sexual dysfunction and we cannot get pregnant naturally, he has some sperm but not enough to achieve pregnancy naturally because of the undecended testicle so that one never functioned at all…. I pray you find love, with someone who accepts you completely without judgement
What caused unfertility is that surgery or something else?
@@motog717 you mean the surgery causes infertility?
@@kasie680 you mean the surgery causes problem??
Absolutely....they didnt treat your problem initially properly....a small stricture they made it a mess and made it big...anyways am happy for you....i recently got the surgery done and my doctor is very sensible and fortunate to meet him!!
There's no pharmaceutical drugs that can cure this sickness,i swear only herbal remedy are very good,There is a great joy in my heart writing this,thanks to dr udoka on UA-cam for curing me of erectile dysfunction and Peyronie disease.
These evil doctors who keep you doing dilations are basically doing factory work to make money. They don’t offer you a Urethroplasty because 1. They can’t do it and 2. They’ll make money money doing repeat ineffective dilations. And that’s why you’ve suffered. They should all be thrown in prison for purposely prolonging your misery and knowingly making your condition worse.
sir do coronal hypospadias need surgery?
Do you have any issues still related to hypospadias..Please give me idea about it my son diagnosed with this in subcoronal region in 11months after a UTI..some doc saying surgery must..some says no need for surgery nu..i m worried about him..
@@JourneyofJoy03 how you diagnosed uti ? Routine microscope dipstick test ? Or urine culture ?
How many hours the duration of priapism?
Um grupo pra a gente falar a respeito: chat.whatsapp.com/CcbeVQaeAQX3vDhCvuQC0i
Thank you for putting my mind at ease. After 40 years of fear shame and trauma I will be getting Buccal Mucosa on lay urethroplasty surgery. Your descriptions of the problems are parallel to mine, your testament gives me confidence and hope for a successful outcome.
How are you now... you might have got procedure
How are you now plz?