Urethral Stricture Best Treatment

Once a Urethral Stricture Always a Stricture? 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 [email protected]. visit www.aksurology.com and for operative videos visit youtube channel @dradityaks www.dradityaurologist.com