The urethra, the tube that carries urine from the bladder to the outside of the body, is repaired and rebuilt through urethroplasty, a surgical procedure. A person who has urethral strictures, which are narrowings or blockages in the urethra that can obstruct urine flow, is usually recommended for this procedure.
It is typical for an individual to undergo a thorough evaluation by a healthcare provider before undergoing urethroplasty, including imaging tests such as urethrography and cystoscopy to determine the extent and location of the urethral stricture. As part of preoperative preparation, certain medications that could increase bleeding risk may be discontinued and fasting for a period of time.
An incision is made in the area of the urethral stricture by the surgeon in order to gain access to the affected portion of the urethra, after which the patient is placed under general anesthesia to ensure comfort and relaxation. To widen and restore the normal diameter of the urethra, the remaining healthy tissue of the urethra is mobilized and reconnected after the narrowed or scarred portion of the urethra is carefully excised. To augment the repair and provide additional support, tissue grafts or flaps may be used.
Individuals may feel discomfort or pain in their genital area after urethroplasty, as well as urinary symptoms such as difficulty urinating or increased frequency. A pain medication may be prescribed during the recovery period to manage any discomfort. In the days following the procedure, it is important to follow all instructions provided by the healthcare provider, including refraining from strenuous activities and sexual interaction.
In spite of the fact that urethroplasty is generally considered safe and effective, it can also cause certain risks and complications. Among these are urinary tract infections, bleeding, injury to the surrounding tissues or structures, recurrence of urethral strictures, and urinary incontinence and erectile dysfunction. Prior to undergoing urethroplasty, it is essential to discuss the risks and benefits with your healthcare provider.
Following certain postoperative care instructions may help promote healing and prevent complications after urethroplasty. In order to prevent strain on the genital area, you may need to take prescribed medications as directed, drink plenty of fluids, and avoid activities that could strain the genital area. It is possible to schedule follow-up appointments to monitor recovery progress and to determine whether the urethroplasty relieved symptoms and restored normal urinary function successfully.
