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urethral stricture

I found a report of a patient from a medical forum. What scares me is the sudden urinary retention:

"I am 60 years old today and still in good shape and above all optimistic. Thank God...
I got a urethral stricture in 1972 after a car accident.
This was repeatedly dilated - bougied - until 1989
In 1989, it was slit once.
After that, I often had infections - which were treated with antibiotics.
After a few years, I became allergic to them.
In 1998, I had open surgery - end to end op.
After that, I went for acupuncture every time an infection occurred.
I only took antibiotics for a short time in really acute cases.
Last autumn, I had an infection and took the antibiotic too late.
The result was a urethral blockage. I got a belly catheter.
Fortunately, I was able to urinate again the next day."

That was the report of the patient.
Question 1: Can such an acute blockage occur in the early stages, when you haven't really noticed anything about the disease yet? Or are there always other symptoms like a weak urine stream, burning... before a total blockage occurs.
Background of my question:
I once inserted a bladder catheter without medical necessity. The catheter was too thin, so a lot of urine leaked out beside it.
But I think I used too little lubricant as prescribed. I didn't have any pain or resistance.
Only then did I realize how stupid that was. I don't do that anymore. The next day, I had a strange feeling (like tension) in my penis.
The day after, I went to the urologist. No blood in the urine test. Bladder ultrasound normal. Complete bladder emptying.
I wanted to know if I might have caused a micro-injury with the catheter that could lead to a urethral stricture. He said probably not, since there was no blood in the urine.
Question 2: Would blood still be detectable in my case, 38 hours after catheterization?
Question 3: If an injury did occur, how long does it take for the first symptoms to appear, or in other words, at what point (how many days, weeks) can I say that nothing happened?
Greetings

Christian Welsch

Dear inquirer, the procedure you described has certainly not caused any harm. Catheterization can cause damage if done forcefully. Since there was no bleeding, nothing should have happened. The patient you described likely suffered damage from extensive trauma and recurring infections. All the best, C. Welsch

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Experte für Urology

Christian Welsch

Christian Welsch

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niedergelassener HNO-Arzt und Notfallmediziner, seit 15 Jahren regelmäßige Mitarbeit im allgemeinmedizinischen Notdienst

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