Urethroplasty is a surgical procedure to repair the narrowing of the urethra and resulting urine flow problems. It is the most commonly sought-after treatment for urethral strictures. Find out all about the procedure in Pondicherry.
Procedure Name Urethroplasty
Surgery Type Outpatient procedure (in most cases)
Hospital Stay Nil (or overnight stay if there are concerns)
Duration of Surgery 2 to 6 hours
Type of Anesthesia General Anesthesia
Full Recovery 2 to 4 weeks
Urethroplasty refers to the surgery performed on the urethra to treat urethral strictures. The urethra, part of your urinary tract, is a tube that lets urine exit the bladder and travel outside the body.
Now, urethroplasty comes into the picture when the urethra develops some scar tissue inside and becomes narrow because of the development of urethral stricture. The surgeons use urethroplasty to correct this narrowing and unblock the urethra to allow a smooth flow of urine.
There are several indications that call for urethroplasty as the suitable treatment option:
Patients with urethral strictures or a narrowed/blocked urethra experience the following symptoms:
Complications in patients with urethral strictures include:
There are several types of urethroplasty performed in Pondicherry:
1. Anastomotic Urethroplasty or EPA (Excision and Primary Anastomosis) Urethroplasty
In this type, an incision is made in the space between the scrotum and anus, and some segment of the bulbar urethra between the scrotum and prostate is removed. Then, the two cut ends of the urethra are sewn together. EPA is more suitable when the strictures are short, located deep in the urethra, and are closer to the prostate in the bulbar urethra.
2. Graft Urethroplasty
In this method performed for longer urethral strictures, an incision is made between the scrotum and anus. The scar tissue causing the blockage is opened up and removed. A graft is taken, generally from the buccal lining of the oral cavity (buccal mucosal onlay graft) or in some cases, the extra-genital skin. The urethra is then repaired using a patch made from this graft piece.
3. Penile Flap Urethroplasty
This method is used when the stricture is located in the penile urethra. It involves removing the urethral stricture and repairing the narrowed or damaged portion of the urethra with a flap of the penile skin.
4. Staged Urethroplasty
This method is used when a stricture requires more than two processes to treat. Staged or Johanson’s urethroplasty involves two stages. First, the scarred urethral tissue is removed as well as replaced with a graft. After this surgery (first stage), the artificial urethra thus created, takes a few months to heal. Now, a second surgery is performed about 3 months later, where the graft is formed into a tube for reconstructing the urethra.
Urethroplasty is widely performed by Medfin’s expert surgeonsin Pondicherry. Here are the steps of the procedure:
Benefits
Risks
Call your doctor when you notice any of the following symptoms:
Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty tasks of finding the best hospital, the finest doctor, and the latest procedure at the lowest costs. Let us take charge while you sit back and focus on your health & recovery. Think surgery! Think Medfin!
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It varies from person to person. It must be worn at all times (except for eating and bathing), even while you are asleep.
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