How is a urethral stricture treated?

How is a urethral stricture treated?

In some cases, a urethral stricture can be treated by dilating (widening) the urethra. The doctor may also use a cystoscope to look inside the urethra and cut thought the stricture. One problem with these procedures is that a fairly high percentage of strictures recur (come back), and the patient may need more advanced surgery for a cure.

There are two main types of surgery (known as urethroplasty) to reconstruct the urethra. If the stricture is short enough, the surgeon may be able to remove the narrowed section of the urethra and then stitch the healthy ends of the urethra directly together.

If the stricture is too long for this type of surgery, then a procedure called ‚Äúsubstitution urethroplasty‚ÄĚ is necessary. During a substitution urethroplasty, the urethra is rebuilt over a longer distance. This is usually done by using buccal mucosa, the inner lining of the cheek, to replace the scarred tissue.

These procedures are successful up to 95% of the time. When the surgery is successful, the patient does not need to have future procedures. He also will not need to self-catheterize (insert a catheter into his penis in order to drain urine).

How is a rectourethral fistula treated?

A surgeon performs a urethroplasty (see above) to reconstruct the urethra. Surgery for a rectourethral fistula is usually done through the perineum (the area between the scrotum and the rectum). Surgery at this site brings about a quicker recovery than an operation through the abdomen. In this surgery, the rectum and urethra are carefully separated and the hole on each side closed. In complex cases, a muscle flap from the inner thigh is used to the fill the space in between and act as a barrier to prevent the fistula from occurring again.