Urethral stricture
A urethral stricture operation is a surgical procedure to treat a narrowing of the urethra, which is the tube that carries urine from the bladder out of the body. This condition can lead to difficulty urinating, pain, and an increased risk of infections. The type of surgery depends on the severity and location of the stricture.
Here are the common types of surgeries for urethral stricture:
Urethrotomy (Internal Urethrotomy):
A minimally invasive procedure where a scope is inserted into the urethra, and the stricture is cut open with a laser or a cold knife. It’s usually done under general or spinal anesthesia.
Recovery is relatively quick, but there’s a chance of recurrence.
Urethral Dilation:
A less invasive option where the stricture is gradually widened using dilators. This can be repeated multiple times if the stricture recurs.
It’s often performed under local anesthesia.
Urethroplasty:
A more complex surgery that involves reconstructing the urethra. This can include removing the narrowed segment and reconnecting the healthy ends or using a graft (often from the patient’s cheek or skin) to replace the narrowed section.
Urethroplasty has a higher success rate and lower recurrence risk but involves a longer recovery period.
Permanent Stent Placement:
In some cases, a stent (a small tube) may be placed in the urethra to keep it open. This is less common and usually considered when other treatments have failed.
Hospital Stay: Depending on the surgery, you might stay in the hospital for a day or more.
Catheter Use: After the surgery, a catheter may be placed in the bladder to drain urine while the urethra heals. This could stay in for a few days to a few weeks.
Follow-up: Regular follow-up is necessary to monitor for recurrence or complications.
Activity: Patients are usually advised to avoid heavy lifting, strenuous activities, and sexual activity for several weeks post-surgery.