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 :
Ivy Hospital Hoshiarpur, a 160 bedded superspeciality hospital is a state of the art facility aimed at providing quality healthcare to people of the region at an affordable cost. The hospital is well equipped to cater the patients from Himacha.....
Rating :
Rating :
Fortis Medical Centre (FMC), Kolkata, is a day care centre with 26 years of trusted service. We have specialised OPD clinics, state-of-the-art ophthalmology and dentistry departments along with preventive health check-up department. The Centre has a pharmacy store .....
Rating :
In the year 1998, Dr. Sunil Chandra Bagchi and Dr. Ratish Ch. Paul founded Susrut Eye Foundation & Research Centre with a motto to eradicate blindness and make this world a beautiful place to those who are still in darkness. They r.....
Rating :
Rating :
GNH Hospital at Gurgaon is multi superspecialty hospital catering to patients from all over the world. The hospital has truly put the city of Gurgaon on the international map as large number of patients from different parts of the world come to the hospital for adv.....
Rating :
Primus Super Speciality Hospital is a state of the art multi specialty hospital conveniently located in the heart of India’s capital, New Delhi. Primus Super Speciality Hospital has been designed and constructed using the most advanced medical technology, ava.....
Rating :
Pushpawati Singhania Research Institute (PSRI) is a multispecialty institute of national & international repute. PSRI hospital is famous for its ambience, quality of care and high level patient satisfaction. The state-of-the-art facilities coupled with latest e.....
Rating :
Columbia Asia Referral Hospital – Yeshwanthpur is a comprehensive super specialty facility situated in the upscale Yeshwanthpur locality of Bangalore. The hospital was opened in July 2008 and is already considered among the best hospitals in India. The medica.....
Rating :
Sharda Hospital, an state-of-the-art multi superspeciality hospital, offers medical care at par the global excellence. Equipped with all modern facilities and sophisticated equipment, Sharda Hospital provides global comprehensive healthcare as preferred destination.....
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