Have you been diagnosed with urethral stricture and need the best solution for this painful urological ailment? Get in touch with Pristyn Care’s expert urologists and explore the various urethral stricture treatment options available for you. Book your appointment with our expert urologists today.
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Urethral stricture is a urological condition characterized by the narrowing of the urethra- a thin tube that carries the urine and helps it flush out of your system. This condition can be quite discomforting and causes a slow urinary stream. Generally, the urethra is wide enough to allow urine to flow without restrictions. However, in this case, the passage becomes narrow. The narrowing hampers the affected individual’s ability to pass urine, along with other symptoms such as incomplete emptying of the bladder, pain while urinating, spraying of the urine stream, urinary tract infections, etc.
Several factors, including a history of endoscopic procedure of the urethra, trauma or injury to the urethra or pelvis, enlarged prostate, cancer of the urethra or prostate, radiation, therapy, and sexually transmitted diseases, are generally the leading causes of this condition. In some cases, these strictures do not cause discomfort and surgery can be avoided. However, in severe cases, surgical intervention becomes a must.
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Pristyn Care is a safe and reliable healthcare facility that has redefined India’s surgery scene. We strive to make affordable surgeries reach every nook and corner of the country and help the maximum number of people get relief from their ailments. We have a team of the most brilliant doctors who utilize their medical excellence, expertise, and advanced treatment methods to provide quality care to patients suffering from urethral stricture. Our treatment methods meet global standards and are constantly updated to ensure high success rates. We are associated with the best hospitals in India, which have state-of-the-art infrastructure and offer all amenities to make the patient’s treatment journey hassle-free. Listed below are some more reasons that make Pristyn Care one of India’s leading surgical-care providers:
A urethral stricture can be diagnosed with the help of a series of tests. The most commonly performed diagnostic tests for urethral stricture include:
Physical examination: In a physical examination, the doctor examines the penis to look for urinary stricture. They look for redness, urethral discharge, and hardness or swelling in the area.
Urethroscopy: In this test, a fine and flexible scope is inserted into the urethra and moved up to the stricture. The test aims to examine the narrowed area and chalk out the best treatment plan.
Retrograde Urethrogram: The number of urinary strictures can vary from one to many. This test lets doctors confirm the number of strictures, their location, and the severity. This is an x-ray-guided procedure in which contrast dye is injected into the urethra through the tip of the penis. The doctor gets an image of the urethra and the outlines of the narrowed area. In some cases, this test may be combined with an antegrade urethrogram.
Urethral Stricture can be treated through a wide range of methods. If left untreated, it can have painful implications in the future. This condition can cause urinary and testicular infections and may even lead to the formation of stones. Some viable treatments available for urethral stricture are as follows:
Dilation: This procedure is performed on an outpatient basis under local anesthesia. This method includes stretching the stricture with the help of progressively large dilators. Then, the tissue is stretched with the help of a special balloon on a catheter. This procedure is to be performed regularly. The doctor will guide you on inserting the catheter from time to time. The aim is to widen the opening gradually.
Urethrotomy: In this method, a special scope is used to locate and treat the stricture. The scope is moved along the urethra until it reaches the stricture. The scope has a knife blade or laser attached at the end, which helps cut the stricture and create some space or a gap. A catheter is inserted into the urethra to hold the gap and allow it to heal. This is a simple surgery, which is generally performed on an outpatient basis and causes no discomfort to the patient.
Urethroplasty: This method involves the surgical removal of the narrowed part of the urethra or its enlargement. In some cases, doctors may reconstruct the surrounding tissues using grafts from other areas of the body, such as the skin or mouth. The chances of recurrence of urethral stricture after this surgery are quite low.
Catheterization: In this method, a small catheter is inserted into the bladder to drain urine, which helps treat urine blockage. The doctors then prescribe antibiotics to treat infections (if any). This treatment is considered viable in case of short strictures.
Implanted stent or permanent catheter: This treatment is a good option for patients who have a severe urethral stricture and don’t want to get surgery done. In this case, a stent or a permanent catheter is used to keep the urethra open. But, this method increases the risk of bladder irritation, urinary tract infections, irritation, etc. Also, the stent and permanent catheter used in this method require constant monitoring.
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If you wish to have a smooth surgery experience, make sure you prepare yourself for the surgery in advance. Here are some ways in which you can prepare yourself for your urethral stricture surgery:
Most urethral stricture procedures are performed on an outpatient basis, i.e., patients can return home on the day of the surgery. However, in the case of a urethroplasty, the patient might have to stay in the hospital for a day or two. Some patients will have to keep a catheter for 2 to 3 weeks after the procedure, which will help them urinate.
The causes of urethral stricture are manifold. Some common causes include:
The type of treatment to be performed depends upon the severity of the stricture, along with other factors. Therefore, no single treatment is considered best for urethral stricture.
Urethral stricture may not show any symptoms in most cases. However, in serious cases, it can exhibit symptoms such as:
No. Currently, no medicines or drugs are available that can help treat urethral stricture. However, some other surgical and non-surgical treatments can help treat this condition without causing any complications.
If you have been diagnosed with urethral stricture, and the doctor has recommended surgery, make sure you ask them the following questions:
Listed below are some tips that can help you prevent urethral strictures: