How do you treat a bulbar urethral stricture?

How do you treat a bulbar urethral stricture?

Bulbar urethral stricture can also be treated through major surgery called urethroplasty. Urethroplasty is an open surgical reconstruction or replacement of the urethra. Urethroplasty is effective in relieving symptoms both in long and short term but is a major surgery with its common risk factors.

Is urethrotomy a major surgery?

Fortunately, a urethrotomy is a simple, usually outpatient, surgery with minimal chances of serious complications.

What is bulbar urethroplasty?

Excision and primary anastomosis (EPA) urethroplasty A short segment of the bulbar urethra (between the scrotum and the prostate) is excised and the cut ends of the urethra are sewn back together.

How long does it take for a urethral stricture to heal?

First stage – The underside of the urethra is opened, which shows the full length of the stricture. A graft is secured to the opened urethra. The graft heals and matures for 3 months to a year.

What is bulbar stricture?

Bulbar urethral strictures are usually categorized as traumatic and non-traumatic strictures depending on the aetiology. The traumatic strictures are caused by trauma and they determine disruption of the urethra with obliteration of the urethral lumen, ending with fibrotic gaps between the urethral ends.

What is the best treatment for urethral stricture?

Urethrotomy, or cutting the stricture through a scope. Urethroplasty, or surgical reconstruction of the urethra; which is often the most effective approach.

Is urethral stricture surgery is painful?

This procedure takes place in the hospital but does not require an overnight hospital stay. Because you may have pain and discomfort after the procedure for up to two weeks, your doctor may prescribe pain relief medication, as necessary. You should avoid sexual intercourse for one week after urethrotomy.

What is the difference between urethrotomy and urethroplasty?

Urethrotomy is a minimally invasive technique whereby the narrowed area is progressively widened by cutting the scar tissue with a steel blade mounted on a urethroscope. Urethroplasty is a more invasive surgery to reconstruct the narrowed area.

How long is bulbar urethra?

The bulbous urethra is 3 to 4 cm long and merges with the penile urethra, which lies in the corpus spongiosum. The prostatic urethra is lined by urothelium, similar to the urinary bladder.

Is urethral stricture surgery painful?

Does the procedure hurt? Most people do have pain after the surgery, but the pain is usually not very bad. Patients are given pain medication to limit the discomfort. Some patients do not have any pain after surgery.

What is a urethrotomy procedure?

A urethrotomy is an operation to treat a narrowing of your urethra (tube that carries urine and semen to the tip of your penis). The narrowing (stricture) is usually caused by scar tissue forming after inflammation, an infection or injury.

How long does a catheter stay in after urethrotomy?

Conclusions: In uncomplicated cases of urethroplasty, the urethral catheter can be safely removed after 8 to 10 days postoperatively.

What can you do after urethrotomy?

You should be able to go home the same day or the day after. Do not do strenuous exercise during this time. You should be able to return to work after a few days. Regular exercise should help you to return to normal activities as soon as possible.

How long does catheter stay in after urethrotomy?

Is urethrotomy safe?

Conclusion. Optical internal urethrotomy with intralesional injection of Vatsala-Santosh PGI tri-inject (triamcinolone, mitomycin C, and hyaluronidase) is a safe and effective minimally invasive therapeutic modality for short segment anterior urethral strictures.

What is the best medication for urethral stricture?

Urinalysis — looks for signs of infection,blood or cancer in your urine

  • Urinary flow test — measures the strength and amount of urine flow
  • Urethral ultrasound — evaluates the length of the stricture
  • Pelvic ultrasound — looks for the presence of urine in your bladder after urination
  • What are the causes of urethral stricture?

    Iatrogenic: These are strictures caused by medical treatment of a different condition.

  • Idiopathic: The cause of the stricture is unknown.
  • Inflammatory: An infection or another problem caused inflammation in the urethra.
  • Traumatic: An injury damaging the urethra caused the stricture,such as a fracture of the pelvis.
  • What are the consequences of urethral stricture?

    Urethral stricture disease is much more common in men than in women.

  • Congenital urethral strictures (present at birth) are rare.
  • Any inflammation of the urethra resulting from injury,trauma,previous surgery,or infection can cause urethral stricture.
  • Symptoms of urethral stricture can range from no symptoms at all to complete urinary retention.
  • How to treat urethral stricture at home?

    These antibiotics include azithromycin,doxycycline,levofloxacin,ofloxacin and erythromycin.

  • If you have infectious urethritis,your partner should go in for testing and treatment as well.
  • While you are being treated,and for at least one week after,you should avoid sex or use condoms to avoid passing the infection to others.