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All techniques of urethroplasty in Broadway, Kolkata

All techniques of urethroplasty

All techniques of urethroplasty in Broadway, Kolkata

Urethroplasty is a surgical procedure to repair or replace the urethra when scar tissue forms inside it. The formation of scar tissue can cause trouble while urinating. Therefore, the procedure helps in cases where the scar tissue causes the urethra to be blocked, narrowed, or weakened. Urethroplasty is the best procedure to treat urethral strictures.

Currently, many Urethroplasty techniques and their modifications exist. Common techniques include Anastomotic Urethroplasty, Substitution Urethroplasty, Penile Urethroplasty, and Two-stage Urethroplasty. Several other techniques of Urethroplasty are performed based on the patient’s need. The procedure is safe and has a high success rate.

Each Urethroplasty technique has its advantages, risks, and considerations. Therefore, consult with our urologists at Manipal Hospitals, Broadway, Kolkata, to choose the best treatment option for you.

Consult our urologists if you need All techniques of urethroplasty in Broadway, Kolkata

All Techniques of Urethroplasty are globally recognised as the gold standard in surgery to remove or widen the narrowed section of the urethra.

FAQ's

A scar in or around the urethra is termed a urethral stricture. The condition results from inflammation, injury, or infection that may lead to a block in the flow of urine
 

Symptoms of urethral stricture include:

  • Obstructed voiding

  • Weak or slow dribbling of urine

  • Incomplete emptying of the bladder

  • Frequent or urgent urge to pass urine

The urethra is a thin tube that carries urine from the urinary bladder to the outside of the body. Any surgery performed to repair an injury or defect within the walls of the urethra is called Urethroplasty.
 

Several Urethroplasty techniques are available. Some of the common Urethroplasty procedures recommended are:

  • Anastomosis Urethroplasty: A short segment of the bulbar urethra is excised and the cut ends of the urethra are sutured together.

  • Substitution Urethroplasty: A piece of tissue from extra-genital skin or the inner lining of the mouth is used to increase the size of the urethra.

  • Penile Urethroplasty: A flap of penile skin is used to patch urethral stricture.

  • Staged Urethroplasty: The scarred urethra is surgically removed and replaced with a buccal or skin graft. The replaced graft heals within a few months. Once healed, a second procedure is performed to shape the urethra.

Urethroplasty is recommended in women with urethral strictures caused by prior vaginal surgery, trauma, long-term catheter use, radiotherapy, or unidentified cause. The procedure is often performed when less invasive treatments have failed. It also helps reconstruct a severely damaged urethra
 

You may need Urethroplasty if:

  • You have urethral stricture

  • You have constant urinary problems

  • You suffer from congenital defects, such as epispadias and hypospadias

  • If you have had gender reaffirmation surgery

The length and location of the urethral stricture are identified with an X-ray or cystoscope. Instructions on what to drink or eat and medication to take will be provided before the procedure.

An incision is made on the underside of the penis, between the scrotum, or in the perineum. The location of the stricture is identified, and depending on its length and location, it is either removed or rebuilt.

If the blockage is longer or within the penile urethra, the tissue from other body areas is grafted and replaced with cut-away tissue. After the procedure, the incision is closed, and drains are placed. A catheter is placed to facilitate the passage of urine and promote healing. The procedure typically takes one to three hours to complete, depending on the length and complexity of the blockage.
 

The patient will be monitored for a few days within the hospital. He/she may be discharged with a catheter, antibiotics, pain relievers, and medications to prevent bladder spasms. 
 

Follow-up after Urethroplasty procedures is crucial, as urethral strictures most often recur within the first two years after the procedure. At the follow-up, patients might have to undergo a cystoscopy of the urethra and a urinary flow rate assessment.
 

Urethroplasty is the best way to treat urinary strictures. The success rate associated with the procedure is also high.
 

The main complication of Urethroplasty is the procedure may not be beneficial over the long term. Hence, additional procedures like internal cutting procedures may be needed to remove the scar tissue.

  • Due to the patient’s position during surgery, they may develop nerve injury to the legs, feet, elbows, or fingers

  • Resulting nerve damage may cause pain in the scrotum or perineum

  • There is a possibility of urine or semen leakage after undergoing the surgery

  • Some patients tend to develop erectile dysfunction temporarily after surgery

Patients who underwent Urethroplasty and catheter placement must avoid sitting or driving for prolonged periods. They must also avoid squatting or sitting with their legs apart. After the catheter is removed, patients must avoid intercourse or masturbation for at least six weeks after surgery. 
 

The recurring urethral strictures are often thin and web-like and may cause obstructions. Therefore, a scope is used to cut strictures. The strictures that are dense and do not respond to cutting may require further surgical procedures.
 

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