Urethral Stricture:
Narrowing of Urethra causing obstructed urinary flow.
Best Chance for Cure of Stricture is in the first attempt.
All further attempt has a higher failure rate.
It is important to know the best option for your Urethral Stricture..
Cause:
Trauma: Catheter /Injury/ Instrumentation
Infection: urine Infection/ Urethritis/ STD
Congenital: with or without Hypospadias
Idiopathic: Unknown reason
Symptoms:
Decreased Urine flow
Straining for urination
Recurrent UTI
kidney failure Due to Back Pressure
Diagnosis :
Uroflowmetry
RGU / MCU
Cystoscopy
Treatment :
There is no medication for Urethral Stricture
Except for transient use of Antibiotics to control infection.
DVIU / OIU :
Suitable only for soft Mucosal stricture Less than 5mm Length
advantage: minimally invasive
Disadvantage: Hugh rate of recurrent stricture.2nd attempt of DVIU has almost100% Failure.
Anastomotic Urethroplasty:
for strictures 5mm to 25mm Length.
Advantages: high success rate
Disadvantage: Risk of erectile problems due to a urethral transaction.
Substitution urethroplasty :
for stricture not suitable for the above methods.
Previous failed Stricture
Buccal mucosa graft is the most common substitution
other options are Penile Skin or Tunica Albuginea.
What is the Best Option? for me
DVIU/OIU:
First-time stricture,
less than 5 mm without any attempted history of catheterization
Anastomotic Urethroplasty:
stricture up to 2-2.5 CM
in individuals over age of 50
Substitution Urethroplasty:
For all type of strictures,
Failed strictures
Staged urethroplasty:
Failed strictures,
full-length strictures,
complex strictures with infection or fistula
Still, final treatment option depends upon many other factors to be seen or decided by your urologist depending upon disease condition and availability of resources patient parameters, presence of infection or fistula, complexy of reconstruction and available expertise in certain procedures.
For further information you vany reach to Dr Aditya K Sharma MCh Urologist and reconstructive Urethroplasty and transplant surgeon at 8130014199 or write to us at aks.urology@gmail.com. visit www.aksurology.com and for operative videos visit youtuve channel @dradityaks