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Urology

Stricture Urethra

Urology

Best Treatment for Urethral Stricture in Kphb | Kukatpally | Hyderabad

My health hospitals has best urologists with 10 + years of experience in the field of urology in treatment of various causes of urethral stricture with advanced and best technology (LASERS) with best outcomes through safe and successful surgery with less hospital stay duration and aiming to cure future urinary flow related problems.

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Dr Jayanth Reddy
Dr. Jayanth Reddy
MBBS, MS, DNB - UROLOGY, FMAS
(Fellowship in Minimal Access Surgery)
UROLOGIST & ANDROLOGIST
Timings : 10 am - 6 pm
4.8 : myhealthhospital
based on 458 reviews
---- Overview ----

Best Urethral Stricture Surgeons in Kukatpally, Hyderabad

A urethral stricture results from scarring that narrows the urethra that carries urine out of your body. A urethral stricture restricts the normal flow of urine from the bladder and cause symptoms.

What are the causes of urethral stricture?

Often the cause is unknown, but can occur due to various factors -

  • Prior Instrumentation with an endoscope or cystoscope for diagnostic or thereupetic purpose.
  • Long term use of urinary catheter for any neurological illness.
  • Trauma to pelvis or urethra.
  • Post surgery for enlarged prostate.
  • Cancer of the urethra or prostate
  • Sexually transmitted infections(UTI)
  • Radiation therapy(RT)
causes of urethral stricture

What are the symptoms of urethral stricture?

  • Decreased urine stream(POOR FLOW)
  • Incomplete bladder emptying(INCOMPLETE EMPTYING )
  • Spraying of the urine stream
  • Difficulty, straining or pain when urinating(DYSURIA)
  • Increased urge to urinate or more-frequent urination(URGENCY & FREQUENCY)
  • Urinary tract infection(UTI)
symptoms of urethral stricture

What are the investigations of urethral stricture ?

Your UROLOGIST might recommend a number of tests to determine the cause, location and length of the urethral stricture, including:

  • Urinalysis (Complete Urine Examination) — looks for signs of infection, blood or cancer in your urine
  • UROFLOWMETRY — measures the strength and amount of urine flow
  • Urethral ultrasound — measures the length of the stricture
  • Ultarsound abdomen with post void residual volume — looks for the presence of urine after urination usually suggestive of outflow obstruction.
  • Retrograde urethrogram (RGU)— uses X-ray images to check for a structural problem or injury of the urethra as well as the length and location of the stricture along the urethra
  • Cystoscopy — examines your urethra and bladder using a endoscope(cystoscope) to view these organs.
urethral stricture-symptoms

What are the treatment options for urethral stricture?

Surgical correction is the treatment of choice for urethral strictures. Your treatment will depend on your situation. Treatment options include:

Urinary Catheterization - Inserting a catheter into your bladder to drain urine in cases of urinary retention to releive symptoms is the first step. Antibiotics to treat an infection may be prescribed

Urethral Dilation - Your treating doctor inserts a guide wire through the urethra into the bladder. Serial dilators pass over the guide wire with gradual increase the size of the dilators. This is done under local anaesthesia

Urethroplasty - This involves surgically removing the narrowed section of your urethra and resuturing the normal ends. Tissues from other areas of the body, such as your mouth is usually used as a graft during reconstruction(Buccal mucosal). The recurrence of urethral stricture after buccal urethroplasty is very low.

Visual internal urethrotomy- In this procedure, your urologist inserts a thin optical device (cystoscope) into your urethra, visualises the stricture and either cuts it with a cold knife or vaporize it with a laser(holmium).

Implanted stent or permanent catheter- If you have a severe stricture and choose not to have surgery, you may opt for a permanent artificial tube (stent) to keep the urethra open, or a permanent catheter to drain the bladder. They also require close monitoring. Urethral stents are usually last resort of treatment and are used only in selected patients.

treatment-bph
---- FAQs ----

Urethral Stricture

By avoiding injury to the pelvic area of the body, it may be possible to prevent some forms of urethral stricture. Taking care to avoid infection may also help prevent this condition.

Urethral stricture has a generally positive outcome. It is a treatable condition. However, this condition can happen again, requiring multiple procedures. Follow-up appointments with your healthcare professional will be needed after being treated for urethral stricture.

Most commonly, urethral strictures are managed by urologists, who are doctors with training and specialization in the urinary system.

Treatment of urethral stricture is mainly surgical. Injection of drugs like mitomycin C and triamcinolone into scar tissue has been found to reduce urethral stricture in some studies.

The use of laser for the treatment of urethral strictures is also being evaluated but the initial results are not encouraging.

The overall success is less than 50% in the long term follow up studies.

The success of this procedure is over 80% in the long term. It to some extend also depends on the experience of the urologist doing the surgery.

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