Urethroplasty generally refers to the fixing of scar tissue in the urine channel from the bladder out the penis. There are many surgeries possible to fix this and all work to increase the size of the urine channel to improve urine flow.
It is an open surgical reconstruction or replacement of the urethra that has been narrowed by scar tissue and spongiofibrosis which is urethral stricture. This procedure is considered to be the gold standard for urethral reconstruction with the best and most durable results.
Why Urethroplasty is done?
There are multiple causes of this procedure such as
Types of Urethroplasty
Excision and Primary Anastomosis (EPA) Urethroplasty: For short strictures that involve the bulbar urethra which is the part under the scrotum and up to the prostate, a segment of the scarred urethra is excised following which the two cut ends of the urethra are sewn together.
Graft Urethroplasty: A graft as the name suggests is a piece of tissue that is transferred from one part of the body to another, usually grafts are harvested from the extra-genital skin or from the inner lining of the mouth. The mouth graft is known as a “buccal graft”.
A graft does not have its own blood supply, so it relies on the blood supply of the host to survive. Grafts are used to increase the size of the narrow urethra by patching it and are conducted to avoid a total replacement.
Penile Flap Urethroplasty: Penile flap urethroplasty uses a flap of penile skin in order to reconstruct a urethral stricture as a treatment of the scarred urethra. Penile skin flaps are good for reconstructing long strictures and are used as a patch to the narrow urethral segments. It is important to note that flaps are reserved for patching and not a replacement.
Staged Urethroplasty: For conditions where the urethra and local skin are severely scarred a staged urethroplasty is usually prescribed. Here, the scarred urethra is surgically excised, and in its place, a skin graft is placed. This replaced urethra is left open to the air to heal during this procedure, the meatus is often placed in front or under the scrotum causing patients to sit to urinate for a few months. Once the graft is soft and well healed, the patient undergoes a second ‘staged’ surgery to roll the graft up into a tube to reconstruct the urethra. It is important to note that a staged urethroplasty can require more than two steps and more than one phase of grafting.
What is Urethroplasty?
Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures.
What type of surgery is done in Urethroplasty?
The type of surgeries is varied and depends upon the location, cause, and length of the stricture.
What happens during the surgery?
An incision is made over the area of the stricture in the penis, scrotum, or perineum which is the area between the scrotum and the anus.
How long the surgery does take?
Most surgeries take between three to six hours to complete.
Types of Urethroplasty
Excision and Primary Anastomosis (EPA) Urethroplasty: For short strictures that involve the bulbar urethra which is the part under the scrotum and up to the prostate, a segment of the scarred urethra is excised following which the two cut ends of the urethra are sewn together.
Graft Urethroplasty: A graft as the name suggests is a piece of tissue that is transferred from one part of the body to another, usually grafts are harvested from the extra-genital skin or from the inner lining of the mouth. The mouth graft is known as a “buccal graft”.
A graft does not have its own blood supply, so it relies on the blood supply of the host to survive. Grafts are used to increase the size of the narrow urethra by patching it and are conducted to avoid a total replacement.
Penile Flap Urethroplasty: Penile flap urethroplasty uses a flap of penile skin in order to reconstruct a urethral stricture as a treatment of the scarred urethra. Penile skin flaps are good for reconstructing long strictures and are used as a patch to the narrow urethral segments. It is important to note that flaps are reserved for patching and not a replacement.
Staged Urethroplasty: For conditions where the urethra and local skin are severely scarred a staged urethroplasty is usually prescribed. Here, the scarred urethra is surgically excised, and in its place, a skin graft is placed. This replaced urethra is left open to the air to heal during this procedure, the meatus is often placed in front or under the scrotum causing patients to sit to urinate for a few months. Once the graft is soft and well healed, the patient undergoes a second ‘staged’ surgery to roll the graft up into a tube to reconstruct the urethra. It is important to note that a staged urethroplasty can require more than two steps and more than one phase of grafting.
What is Urethroplasty?
Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures.
What type of surgery is done in Urethroplasty?
The type of surgeries is varied and depends upon the location, cause, and length of the stricture.
What happens during the surgery?
An incision is made over the area of the stricture in the penis, scrotum, or perineum which is the area between the scrotum and the anus.
How long the surgery does take?
Most surgeries take between three to six hours to complete.
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Urethroplasty generally refers to the fixing of scar tissue in the urine channel from the bladder out the penis. There are many surgeries possible to fix this and all work to increase the size of the urine channel to improve urine flow.
It is an open surgical reconstruction or replacement of the urethra that has been narrowed by scar tissue and spongiofibrosis which is urethral stricture. This procedure is considered to be the gold standard for urethral reconstruction with the best and most durable results.
Why Urethroplasty is done?
There are multiple causes of this procedure such as
Types of Urethroplasty
Excision and Primary Anastomosis (EPA) Urethroplasty: For short strictures that involve the bulbar urethra which is the part under the scrotum and up to the prostate, a segment of the scarred urethra is excised following which the two cut ends of the urethra are sewn together.
Graft Urethroplasty: A graft as the name suggests is a piece of tissue that is transferred from one part of the body to another, usually grafts are harvested from the extra-genital skin or from the inner lining of the mouth. The mouth graft is known as a “buccal graft”.
A graft does not have its own blood supply, so it relies on the blood supply of the host to survive. Grafts are used to increase the size of the narrow urethra by patching it and are conducted to avoid a total replacement.
Penile Flap Urethroplasty: Penile flap urethroplasty uses a flap of penile skin in order to reconstruct a urethral stricture as a treatment of the scarred urethra. Penile skin flaps are good for reconstructing long strictures and are used as a patch to the narrow urethral segments. It is important to note that flaps are reserved for patching and not a replacement.
Staged Urethroplasty: For conditions where the urethra and local skin are severely scarred a staged urethroplasty is usually prescribed. Here, the scarred urethra is surgically excised, and in its place, a skin graft is placed. This replaced urethra is left open to the air to heal during this procedure, the meatus is often placed in front or under the scrotum causing patients to sit to urinate for a few months. Once the graft is soft and well healed, the patient undergoes a second ‘staged’ surgery to roll the graft up into a tube to reconstruct the urethra. It is important to note that a staged urethroplasty can require more than two steps and more than one phase of grafting.
What is Urethroplasty?
Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures.
What type of surgery is done in Urethroplasty?
The type of surgeries is varied and depends upon the location, cause, and length of the stricture.
What happens during the surgery?
An incision is made over the area of the stricture in the penis, scrotum, or perineum which is the area between the scrotum and the anus.
How long the surgery does take?
Most surgeries take between three to six hours to complete.
Rating :
With a capacity of 21 beds, this state-of-the-art specialty hospital is committed to bringing together world-class medical services and healthcare management practices. Apollo Spectra hospital offers expert care in a wide range of su.....
Rating :
ISIC is the most advanced Spine, Orthopedic and Neuromuscular Surgical centre in India with the latest state of the art diagnostics and surgical equipment and a highly qualified team of specialists recognized internationally who have been trained in leading institu.....
Rating :
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Rating :
The Dental Arch is a full-service dental clinic in Mumbai, India that prides itself on superior quality and Western standards of excellence for dentistry. Founded by award winning dentists Dr. Gaurav Poplai and Dr. Kanika Madan, the clinic has a comfortable new and.....
Rating :
Eternal Hospital (A unit of Eternal Heart Care Centre and Research Institute) is a state-of-the-art tertiary care hospital in Jaipur city. This landmark Healthcare Institute is the result of the vision of Dr. Samin K. Sharma, world r.....
Rating :
Lotus Eye Hospital in Juhu, Mumbai, is the one of the most trusted charitable organization and has become the pioneer of affordable eye care. due to which in recent times numerous organisations have adopted similar names, but the old.....
Rating :
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FMS Dental Hospitals……the beginning of a new era in speciality dental practice. FMS was.....
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