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 :
Geetanjali Hospital is an 1150-bedded Tertiary Care Hospital with Multi Super Specialty Services having all medical modalities under one roof. The medicity is spread over an area of 35 acres of picturesque Udaipur scenery. Geetanjali Hospital boasts of state-of-the.....
Rating :
Shree Krishna Hospital & Medical Research Center A world away from the chaos of the main cities and surrounded by 100 acres of lush greenery, Shree Krishna Hospital is an ideal environment for rest and recovery. Today the hospital is ranked among Gujarat's .....
Rating :
Formed by a group of eminent doctors and healthcare management professionals, Felix Hospital is well equipped to provide high quality of personalized care to your health & medical needs. The team is proud to be a leading organization in India to focus on end to.....
Rating :
Orange Ray is a multi-speciality wellness centre which houses various alternative healing modalities and therapies along with multiple fitness options. At Orange Ray, we use minimal or NO medicines, surgery-advised patients are spared the trauma of the knife. Our O.....
Rating :
Jain Eye Hospital & LASER Centre is a tertiary care referral centre appropriate and ethical management of all eye diseases. We take care of all aspects of eye health. We are a self-contained, ultra-modern ophthalmic centre and are conveniently located at AG-152.....
Rating :
Umkal Hospital is a multi-specialty health care institution, equipped with the most modern state-of-the-art technology infrastructure and managed by highly skilled medical professionals in all major disciplines. Established in .....
Rating :
SmilePro Dental Care team always stands by “good dental care treatment with routine checkups goes a long way” - smilepro.in Smile Pro Dental & Implant Centres operate through strategically located centres at Pune- Model Colony & Kalyaninagar, Go.....
Rating :
Spectra Eye Group of Hospitals has the most advanced diagnostic and sophisticated ophthalmic surgical set up in North India. With 10 dedicated super specialists available year round, the center offers super specialty eye treatment rang.....
Rating :
Veritaas Healthcare is a Multispecialty Clinic with consultations, path lab, radiology, dental, physiotherapy services etc under one roof. This convenience, along with our unwavering commitment to quality and unparalleled customer se.....
Rating :
Ayulife Offer the Best of Genuine Ayurveda Treatments which helps in getting rid of the Worries & Anxieties of modern lifestyle and brings peace to mind. Moreover it not only treats the pains/illness but eradicates them. In.....
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