Synonym: Repair of Urethral Stricture
Urethroplasty is a open surgical procedure for urethral reconstruction to treat urethral stricture. Urethroplasty can be performed by 2 methods; primary repair which involves complete excision of the narrowed part of the urethra. The proximal and distal patent parts are then rejoined. The second method of Urethroplasty utilizes tissue transfer or free graft technique. In this method, tissue is grafted from bladder epithelium, or buccal mucosa and is used to enlarge the strictured (narrowed) segment of the urethra.
Where can I get Urethroplasty?
All prices are in US dollars and include the cost of the procedure and minimum hospital stay. Estimates and minimum hospital stay will vary depending upon individual needs and requirements.
If you have a urethral stricture due to any of the causes i.e. repeated episodes of urethritis, benign prostatic hyperplasia, scarring from a previous surgery, injury or trauma most commonly to the pelvic region or from pressure of a tumour, then you are an ideal candidate for Urethroplasty.
A thorough pre-operative assessment by your urologist would comprise of physical examination, urinalysis for the presence of blood and white cells, urine culture for infection and Cystoscopy to confirm the diagnosis of urethral stricture. The standard urethral imaging procedures like Retrograde Urethrogram (RUG) and Voiding Cystourethrogram (VCUG) will be performed. You will be hospitalized at least one day before the surgery. Inform your surgeon about your other health conditions and medications (including all the prescription, non-prescription medications, nutritional supplements i.e. vitamins, minerals and herbal products). Refrain from taking aspirin or Ibuprofen at least 2 weeks before Urethroplasty. Stop smoking a few weeks before Urethroplasty to prevent healing problems during recovery period. Do not eat or drink any thing for at least 10 - 12 hours before the Urethroplasty.
Urethroplasty is performed under general anesthesia. Two Urethroplasty techniques are popularly used:
You will be instructed to stay in bed for the next 2 days, you will be given pain killers and antibiotics for the next few days to help you deal with the pain and risk of infection. The indwelling catheter will be retained for 3 - 5 days. Avoid performing strenuous activities like lifting something heavy, playing sports or having sexual intercourse for at least 2 weeks after Urethroplasty. You will be able to perform all your routine daily activities in about 2 weeks time. You will be called in for follow up x-ray to ensure the results of Urethroplasty.
The success rate reported for Urethroplasty to treat urethral stricture is 70 - 80%. Urethroplasty has optimal results in case of small strictures (2 cm or less) as well as large strictures i.e. more than 2 cm.
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Keywords: Urethral Stricture, Narrowing of Urethra, Urethritis, Benign Prostatic Hyperplasia, Urethral Scarring, Urethral Injury, Taruma to Urethra, Pelvic Trauma, Pelvic Tumour, Painful Urination, Hematuria, Urinary Retention, Orchitis, Urinary Tract Infection, Kidney Failure, Kidney Function, Bladder Stone, Urethral Fistula