Urethroplasty
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Open urethral surgery (urethroplasty) is the only method that gives more than 95% success rate in the treatment of urethral stricture
Techniques for joining the cut ends (urethral anastomosis) differ from techniques for increasing the internal canal (urethral augmentation). In our practice, we encounter very difficult cases of narrowing of the urinary ducts, and the most frequently performed procedure is duct reconstruction using a buccal mucosa graft (BMG urethroplasty).
Treatment of urethral stenosis after traffic accidents is done by perineal access, removal of scars and direct anastomosis of the damaged parts of the urinary canal.
Perineostomy - performing a urethral opening on the skin under the scrotum is extremely rarely used as a treatment option for urethral stenosis. It is performed in very rare cases when reconstruction of the urethral canal is not possible.
Urethrography is a procedure used in preparation for urethral reconstruction surgery. This diagnostic procedure is performed on an outpatient basis by introducing iodine contrast into the urinary canal and radiological imaging of the entire urethra both at the moment of filling and at the moment of urination (retrograde and anterograde - voiding cystourethrography). The procedure takes about 20 minutes and is completely painless.
In addition to urethrography, urethroscopy is an essential procedure for the intraoperative evaluation of urethral stenosis. The procedure is done under anesthesia.
Urethroplasty is usually performed under general anesthesia but can be performed under regional, spinal anesthesia. The operation usually lasts up to 2 hours. Discharge from the hospital is the same or the next day after urethral surgery. Regular ambulatory controls are performed every two to three days. After the operation, the catheter remains in the urethra for about 2 weeks, after which it is removed and then urination begins naturally in the urinary canal.
Using microsurgical methods, excellent precision is achieved in the reconstruction of the urethra, excellent long-term treatment results are obtained, and the recurrence of urethral narrowing is avoided.
Techniques for joining the cut ends (urethral anastomosis) differ from techniques for increasing the internal canal (urethral augmentation). In our practice, we encounter very difficult cases of narrowing of the urinary ducts, and the most frequently performed procedure is duct reconstruction using a buccal mucosa graft (BMG urethroplasty).
Treatment of urethral stenosis after traffic accidents is done by perineal access, removal of scars and direct anastomosis of the damaged parts of the urinary canal.
Perineostomy - performing a urethral opening on the skin under the scrotum is extremely rarely used as a treatment option for urethral stenosis. It is performed in very rare cases when reconstruction of the urethral canal is not possible.
Urethrography is a procedure used in preparation for urethral reconstruction surgery. This diagnostic procedure is performed on an outpatient basis by introducing iodine contrast into the urinary canal and radiological imaging of the entire urethra both at the moment of filling and at the moment of urination (retrograde and anterograde - voiding cystourethrography). The procedure takes about 20 minutes and is completely painless.
In addition to urethrography, urethroscopy is an essential procedure for the intraoperative evaluation of urethral stenosis. The procedure is done under anesthesia.
Urethroplasty is usually performed under general anesthesia but can be performed under regional, spinal anesthesia. The operation usually lasts up to 2 hours. Discharge from the hospital is the same or the next day after urethral surgery. Regular ambulatory controls are performed every two to three days. After the operation, the catheter remains in the urethra for about 2 weeks, after which it is removed and then urination begins naturally in the urinary canal.
Using microsurgical methods, excellent precision is achieved in the reconstruction of the urethra, excellent long-term treatment results are obtained, and the recurrence of urethral narrowing is avoided.