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All techniques of urethroplasty in Dhakuria

All techniques of urethroplasty

All techniques of urethroplasty in Dhakuria

Urethroplasty is the surgical reconstruction of the urethra and the surrounding tissues. It helps treat narrowing of the urethra due to infections, trauma, stones, injuries, and conditions like urethral diverticula and hypospadias.

The following are the types of Urethroplasty:

  • Excision and Primary Anastomosis Urethroplasty

  • Graft Urethroplasty

  • Penile Flap Urethroplasty

  • Staged Urethroplasty

Urethroplasty is a major procedure requiring reconstruction of the urethra and the placement of various types of graft, essentially taking 1 to 2 hours to complete. Therefore, the potential risks associated with the procedure are recurrence of urethral strictures, infection or pain during urination, urinary incontinence, and painful erections. Individuals who undergo the procedure take 2 to 4 weeks to completely recover.

Consult our Best urethroplasty surgeons In Dhakuria if you need surgical reconstruction of the urethra. 

Urethroplasty is an open surgical reconstruction or replacement of the urethra that has been narrowed by scar tissue and spongiofibrosis and there are different methods to treat

FAQ's

When scar tissue develops inside your urethra, Urethroplasty is performed to replace or repair it. After removing the scar tissue, your surgeon will either reconnect the two ends of your urethra or repair the blocked piece by using tissue from another part of your body.

Urethroplasty might be necessary if:

  • There is a stricture in your urethra. This indicates that a portion of your urethra has constricted, obstructing the passage of urine. Men experience urinary strictures far more frequently than women.

  • You were healed in infancy from congenital problems affecting your urethra, such as epispadias or hypospadias. Particularly in urethras that have had prior reconstruction, blockages are frequent.

  • You have undergone gender affirmation surgery.

Urethroplasty is carried out using the following multiple techniques:

  • Excision and Primary Anastomosis (EPA) Urethroplasty: Between the prostate and the scrotum, a little section of the bulbar urethra is removed, and the urethra's severed ends are sewed back together.

  • Graft Urethroplasty: To enlarge the urethra, a patch made of tissue is usually taken from the inner lining of the mouth (buccal graft) or the extra-genital skin.

  • Penile Flap Urethroplasty: A urethral stricture is patched with a flap of penile tissue.

  • Staged Urethroplasty: A buccal or skin transplant is used to restore the surgically removed scarred urethra. A second procedure shapes the graft into a tube to repair the urethra. Once it has healed, it takes many months for the replacement urethra to recover.

An X-ray known as a retrograde urethrogram, or cystoscopy, is usually used to confirm the length and location of the obstruction. Your healthcare professional will provide you with instructions on what to eat and drink when to take any medications, and other relevant information before the operation day.

In order to give your bladder time to empty and your urethra time to "rest," your healthcare practitioner can advise placing a suprapubic catheter before your operation. This will allow scar tissue to proclaim itself (and be corrected) beforehand. In most cases, this is advised if self-catheterisation is needed to maintain the blockage.
These catheters are inserted into your bladder straight from the pubic region, which is located right above the pubic bone.

After taking off your jewellery and donning a hospital gown, you will proceed to the operation room. General anaesthesia will be administered to you to induce a deep sleep.
 

The surgeons will first cut through the muscular tissue to reach the urethra during the Urethroplasty procedure, and only then will they locate the scars. The stricture will either be eliminated or enlarged with a patch (graft or flap), depending on the circumstances. Following the procedure, the incision will be sutured and the catheter inserted into the bladder through the surgical site. This will promote healing at the surgical site and allow urine to travel through the operating area without interruption. A catheter may be left in place for two to four weeks, depending on the circumstances.

After the treatment is over, you won't need to do anything. Your doctor may prescribe painkillers, medications to relax your bladder, and instructions on how to take care of your catheter and skin sutures. If the physician has used additional tissues from any other section of the body, you will also need to take care of that location.
 

To recover from the anaesthesia, you'll need to spend some time in the recovery room. If you're undergoing an outpatient Urethroplasty, you'll need a driver to get you home. Most patients either spend one night in the hospital or return home the following day. Along with an antibiotic prescription, painkillers, a urinary catheter, and potentially a medicine to stop bladder spasms, you'll be released home. Additionally, you may be prescribed medicine to prevent erections.

You will have a follow-up visit with your physician around two to three weeks following urethral repair. If you haven't had a radiological examination before this appointment, you may have one at that time to check the region that needs repair. The radiologist will remove the catheter, fill your bladder with contrast, and take X-rays while you urinate, if necessary. Your clinical team will then meet with you and go over these pictures.
 

  • Swelling

  • Infection of the wound

  • Erectile dysfunction

  • Leakage from a urinary fistula

  • Nerve damage resulting from your surgical procedure 

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