When is Urethroplasty Recommended?
Urethroplasty is suggested when:
- Repeated urethral strictures occur after temporary treatments like DVIU (Direct Vision Internal Urethrotomy) or dilatation.
- The stricture is long, recurrent, or complex in nature.
- Patients experience frequent urinary tract infections, poor urine flow, or complete blockage.
- Non-surgical treatments have failed to provide relief.
Types of Urethroplasty Procedures
Depending on the length, location, and severity of the stricture, different approaches are used:
- Excision and Primary Anastomosis (EPA):
- The scarred portion of the urethra is removed.
- The two healthy ends are stitched together.
- Usually done for short strictures (less than 2 cm).
- Offers excellent long-term results with very high success rates.
- Augmentation Urethroplasty:
- Used for longer strictures.
- Involves enlarging the narrowed urethra with grafts.
- Buccal Mucosal Graft (from inner cheek) is the most preferred tissue due to its durability and compatibility.
- Substitution Urethroplasty:
- Entirely replaces the damaged urethral section with a graft or flap.
- Effective in complex or previously failed cases.
Benefits of Urethroplasty Surgery
- Permanent solution compared to repeated dilatations or DVIU.
- High success rate (over 85–90% in most cases).
- Improves urine flow and bladder function.
- Reduces the risk of recurring infections.
- Enhances overall quality of life.
Recovery After Urethroplasty
- Hospital stay is usually 3–5 days.
- A catheter is kept for about 2–3 weeks to allow healing.
- Most patients return to daily activities within 4–6 weeks.
- Follow-up visits ensure proper healing and urine flow.
Why Choose Urethroplasty with an Experienced Urologist?
Since urethroplasty is a technically advanced surgery, it requires the expertise of a highly trained urologist. With over 12 years of experience in advanced urology and reconstructive surgeries, patients receive:
- Precise diagnosis and treatment plan.
- Use of the latest surgical techniques like buccal mucosal grafting.
- Long-term success with minimal recurrence.