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 :
“As one of the top pathology labs in India, Dr Lal PathLabs has a very strong focus on hiring and retaining top quality manpower to drive our different departments within and outside the labs. Despite our size, we maintain an e.....
Rating :
Batra Hospital & Medical Research Centre established in 1987 by Ch. Aishi Ram Batra Public Charitable Trust with an infrastructure comprising of 495 beds, 14 Operation Theatres, 112 ICU beds, 24x7 Emergency facilities, full range o.....
Rating :
Eden Hospital is managed by a team of highly qualified and experienced doctors and paramedical staff who have trained at premier institutes of the country.We are the first of its kind hospital in the city beautiful with a state-of-the-art infrastructure and a strong focus on wellness and heali.....
Rating :
HOSPITAL PROFILE Brar Eye Hospital is a super-specialty eye hospital providing preventive & curative services in various disciplines of ophthalmology in an ambient, easily approachable, and spacious and ergonomically designed premises. The hospital is equipped .....
Rating :
Kerala Sanjeevini Ayurvedic Centre (KSAC) is one of the most trusted multi-specialty Ayurvedic hospitals in India. For over two decades, we have delivered effective holistic and natural therapies based on a unique blend of timeless A.....
Rating :
Hospital Profile Description Currently Not Available
Rating :
With a strong belief of ‘giving back to the country’, BR Life is a leading healthcare services brand owned by Dr. BR Shetty. Under the banner of BR Life, we have super specialty healthcare facilities in India, Nepal and E.....
Rating :
Aastha Kidney & Super Speciality Hospital is run by north India’s only Urologist and Nephrologist couple and so merges Urology and Nephrology programs. This consolidation of disciplines allows us to better serve patients in.....
Rating :
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Narayana Health took over the management of MMI Hospitals in August 2011 to provide affordable, high quality healthcare to the people of Raipur and Chattisgarh. add extra care and nurture. The MMI Narayana Multispeciality Hospital, R.....
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