What is Urethroplasty surgery?
Urethroplasty is a conventional surgical procedure which treats urethral stricture by restructuring the urethra.
There are 2 main methods to perform a Urethroplasty:
Primary repair – This involves removing the narrowed portion of the urethra completely. The distal and proximal parts are then reconnected.
Grafting – This involves harvesting tissue from another part of the body (such as the epithelium of the bladder) to help enlarge the narrowed (strictured) portion of the urethra.
Which is the best place to get a Urethroplasty?
India offers to give successful Urethroplasty surgeries for around 25 % to 30% of the cost in the US.
Fill in the form provided to get an estimate for the cost of Urethroplasty surgery in India. You can get an exact cost once our doctors have studied your recent medical reports and current overall health status.
Am I an ideal candidate for a Urethroplasty?
You are considered to be an ideal candidate for a Urethroplasty if the narrowed urethral portion is:
Causing frequent urethritis symptoms
Developing BPH (benign prostatic hyperplasia)
Scarred from a prior surgery,
Trauma or injury to the pelvis
Pressure from tumor
These are the main points considered before determining that you are eligible for undergoing a Urethroplasty.
How should I prepare for Urethroplasty?
A physical exam and blood and urine tests will make for pre-operative testing. A cystoscope may be used to observe the urethral stricture from closer. An RUG (retrograde Urethrogram) and VCUG (voiding cystourethrogram) may also be advised.
You will have to get admitted into the hospital at least a day prior to the surgery. The surgeon will want to known about any underlying medical conditions or current medications, etc. Quit smoking a few weeks before surgery and avoid eating or drinking at least 10 to 12 hours before the surgery starts.
How is Urethroplasty performed?
Urethroplasty requires administering general anesthesia to the patient to prevent pain or discomfort during the procedure.
There are mainly two techniques used to perform Urethroplasty surgery, these are:
Anastomatic technique – In this, the surgeon will remove the stricture (narrowed portion) of the urethra and reconnect the two opposite parts of the urethra. The surgeon will attach a Foley’s catheter for at least 2 weeks to help drain urine efficiently. This is an effective method for treating urethral strictures that are smaller than 2 cm in width.
Tissue transfer – In this method, the surgeon will harvest skin and tissue from another part of the body, such as bladder mucosa. The surgeon may create Split Thickness Skin Grafts or Full Thickness Skin Grafts for completing this procedure.
What is recovery like after a Urethroplasty?
The surgeon or physician will give detailed instructions regarding after-care from the surgery. You will be likely to take bed-rest for at least 2 days immediately following the surgery. Antibiotics and painkillers are administered to prevent infection and pain. The surgeon will remove the attached catheter within 3 to 5 days following the surgery.
Avoid strenuous activities or heavy lifting and sexual intercourse for at least 2 weeks after the surgery. There will be follow-up appointments scheduled and x-ray tests conducted in these to ensure the successful results of this surgery.
How successful is Urethroplasty?
Urethroplasty has a high success rate of around 70% to 80% of all patients being satisfactorily treated. It is the best choice to treat small and large strictures in the urethra.
What are the benefits of Urethroplasty?
Urethroplasty helps to relieve pain and discomfort during voiding, decreases flow of urine to normal and corrects frequent urination caused by stricture in the urethra. This procedure can also help to decrease the risk of developing orchitis, recurrent UTI or prostatitis. Once Urethroplasty is performed the recurrence of urethral strictures is very rare.
What are the risks associated with Urethroplasty?
These are the few risks seen in rare cases after a Urethroplasty:
Urethral stricture recurrence
UTI or wound infection
Are there any alternatives treatments apart from Urethroplasty for Urethral Strictures?
These are the alternates to treat urethral strictures:
Urethral dilation – It involves gently stretching the scar tissue of the stricture to widen the passageway without causing additional scarring. This is effective for smaller sized strictures.
Urethral stents – This technique uses a small tube which is inserted inside the urethra. It helps to hold the narrowed urethral portion wider as it heals from the surgery. This prevents the stricture from forming again.
Internal urethrotomy – This procedure involves reconstructing the urethra to ensure normal passage of the urine.