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 :
Sankara Eye Hospital Bangalore, established in March 2008 under the aegis of Sri Kanchi Kamakoti Medical Trust, is a super-specialty tertiary eye care hospital equipped with world class technology to provide comprehensive quality eye care services comparable to the.....
Rating :
S.L.Raheja (A Fortis Associate) Hospital, Mahim has established a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs. Since its inception, the hospital has been equipped with Centers of Excellence in diverse medica.....
Rating :
Apollo Hospital Bangalore is a tertiary care flagship unit of the Apollo Hospitals Group. It made a mark in the city of Bangalore in 2007 and is committed to provide quality healthcare and facilities within the reach of every individual. It is a perfect blend of te.....
Rating :
Kohinoor Hospital is Asia’s first LEED Platinum Certified hospital and the world’s second LEED Platinum Certified hospital. One of the top hospitals in India and recognised among the best hospitals in Mumbai, Kohinoor Hospital is equipped with the lates.....
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Asian Bariatrics, Super Specialty Hospital is the only stand-alone specialty institute in India that deals with all ailments related to obesity and gastrointestinal tract. Finding a solution for a rising displeasure is only innate for .....
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Established in 2007, Fortis Hiranandani Hospital, Vashi is an advanced tertiary care, multi-specialty hospital equipped with 149 beds and spread over an area of 1, 20,000 sq. ft. We possess wealth of medical expertise with the finest talents amongst doctors, nurses.....
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Started in 2013, NatureHealz is a Naturopathy firm based in Gurgaon. The focus of the company is on promoting Naturopathy as a way of life. It helps people maintain excellent physical, mental and spiritual health by harnessing the natural healing power of the body .....
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