|Discussion in 'All Categories' started by puran singh - Mar 16th, 2013 3:53 am.|
|I am 30 years old male, I have opted stricture urethra April 2010. last three -four month i have feeling of some of the following problems.
* burning in urine passing
* urine colour dark yellow
* urine flow going on slow
* reduced ejaculation force
* incompleate emptying of bladder.
* lower abdominal part sweet painfully.
re: Stricture Urethra by Dr J S Chowhan - Mar 23rd, 2013 11:37 am
Dr J S Chowhan
|Dear Puran Singh
Many surgical treatments are around for treating urethral strictures. With regards to the cause as well as other medical and social aspects, the best procedure could be recommended for every individual case. The most popular procedures include.
urethral stent placement,
open urethral reconstruction.
Urethral dilation is really a commonly attempted technique for treating urethral strictures. This process is performed under local or general anesthesia. Thin rods of skyrocketing diameters are gently inserted in the urethra from the tip of your penis (meatus) so that you can start the urethral narrowing without causing any more trouble for the urethra. This process should be repeated every once in awhile, as strictures may recur. The shorter the stricture, the unlikely it is to recur after a dilation procedure. Occasionally, patients are given instructions and dilation instruments (rods, lubricating gel, anesthetic gel) to complete the urethral dilation at home as required.
Urethrostomy (or internal urethrostomy) is surely an endoscopic procedure that is normally done under general anesthesia. A skinny tube which has a camera (endoscope) is inserted in the urethra to visualize the stricture (as describe in earlier section). A tiny knife is undergone the endoscope to slice the stricture lengthwise and open the flow of urine. A Foley catheter (urinary catheter) will then be inserted and saved in spot for several days even though the urethral incision is healing. The recovery rate with this procedure is approximately 25 percent, and again, shorter strictures have a greater reply to this process.
Urethral stent placement is an additional endoscopic procedure directed at treating urethral strictures. Depending on the location in the stricture in the urethra, a closed tube (stent) might be passed through an endoscope towards the section of the stricture. Once it reaches the appropriate location, then your stent may be opened to create a patent tube or conduit for urine circulate.
Open reconstruction entails several possible processes for correction of urethral strictures. These are surgeries that involve opening the urethra surgically under general anesthesia to repair the stricture. In certain, the region of scarring is remove as well as the remaining urethra is reconnected. In other business owners, after the scarring is removed, a graft from inside the cheek (buccal mucosa) or even a skin flap enable you to form a reconstructed urethra. These methods generally speaking have a good response rate, but they tend to be more invasive than other described procedures.
The treating urologist would recommend the task that would be your best option for each person. As with every medical procedures, there is some extent of risks and complications associated with any of these operations.
J S Chowhan
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