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Advanced Urethroplasty Surgery

Urethroplasty surgery remains the best treatment choice for urethral strictures. It works better than other options like dilatations and urethrotomies. 

Surgeons either remove the scarred urethra section and connect healthy ends, or they place a tissue graft. The patient's specific stricture cause and location determine which type of urethroplasty works best. 

Why CARE Group Hospitals is Your Top Choice for Urethroplasty Surgery in Hyderabad

CARE Hospitals has an expert surgical team of urologists and reconstructive surgeons who excel in intricate urethroplasty procedures. We provide detailed urological care from advanced diagnostic evaluations to state of the art surgical techniques that meet each patient's healthcare needs. Our modern surgical suites will give accurate & optimal results for every procedure.

Our patient-centred approach makes us different as we focus on patient well-being throughout consultation and surgery. Our urethroplasty procedures have some of the highest success rates in the region which gives patients confidence during their treatment.

State-of-the-art Surgical Innovations at CARE Hospitals

CARE Hospital's urologists use modern surgical methods and give you best possible results as per international standards for urethroplasty procedures. These advanced techniques lead to better outcomes & improved patient experiences. The urology department offers both simple & specialised urological investigations and treatments supplemented by the expertise of our doctors.

Best Urethroplasty Surgery Doctors in India

Indications for Urethroplasty Surgery

Your doctor may recommend urethroplasty for you in several situations (including but not limited to):

  • When your urethra gets narrowed blocking urine flow (a condition called as urethral strictures)
  • If your urethra gets injured and requires surgical repair
  • Congenital conditions like complicated hypospadias affecting the urethra
  • Urethral Diverticula or pouch like protrusions in the urethral wall.

Types of Urethroplasty Surgery Procedures

CARE Hospital gives you the advantage of choosing from various urethroplasty techniques depending on your specific conditions:

  • Excision and Primary Anastomosis Urethroplasty: This works best for shorter strictures, particularly in the bulbar urethra. The procedure removes the stricture and joins healthy urethral ends.
  • Graft Urethroplasty: This technique suits longer strictures and uses tissue (often buccal mucosa from the inner cheek) to create a new section of the urethra. 
  • Penile Flap Urethroplasty: Doctors take tissue from your penile skin to reconstruct the urethra.
  • Staged Urethroplasty: A two-stage procedure helps complex cases where doctors remove the scarred urethra and replace it with a graft that heals before final reconstruction.

Pre-surgery Preparation

  • The surgical team first checks the stricture's length & location with the help of investigations like retrograde urethrogram or cystoscopy and creates a roadmap for surgery giving you the best results with minimal discomfort. 
  • Patients need to stop taking blood-thinning medications, including prescription medications, fish oil, and pain relievers like ibuprofen
  • Doctors might suggest a suprapubic catheter placement before surgery. This lets the urethra "rest" and makes scar tissue more visible. 
  • The day before surgery, patients get instructions to clean the surgical area with antibacterial soap and stop eating or drinking after midnight.

Urethroplasty Surgical Procedure

Surgeons make an incision during urethroplasty either on the penis's underside, in the scrotum, or between the scrotum and anus (the most common spot). They locate the stricture after reaching the urethra and either remove it or rebuild that section based on its length and location. Longer blockages or those in the penile urethra need extra tissue from the mouth, genital area, or rectum to support the urethral tissue. The surgeon closes the incision after the repair and places a catheter to help with healing while keeping urine flowing.

Post-surgery Recovery

  • Patients usually head home the same day or stay overnight. They need to wear a urinary catheter for 2-4 weeks. 
  • The medical team provides pain medication, antibiotics, and sometimes medications to stop bladder spasms or erections. 
  • Special mouthwash keeps the area clean if the mouth tissue is used for graft. 
  • Patients should avoid heavy lifting or hard exercise for at least 2-4 weeks. 
  • A follow-up visit happens 14-21 days after surgery & might include an X-ray to check the repair.

Complications

Minor early problems are:

  • Swelling in your scrotum
  • Bruising
  • Urinary urgency

Sometimes delayed complications might develop, including:

  • Erectile dysfunction
  • Penile curvature
  • Wound tightness
  • Scrotal numbness
  • Rectal injury 
  • Urosepsis

Benefits of Urethroplasty Surgery

This surgery gives lasting relief from strictures with higher success rates. It addresses the underlying mechanisms rather than just the symptoms and improves urine flow while reducing bladder strain. Skilled surgeons can preserve sexual function, and the surgery barely affects continence. Patients feel much better overall because they no longer worry about urinary problems.

Insurance Assistance for Urethroplasty Surgery

Insurance covers urethroplasty because it becomes essential when symptoms become severe. Patients should check their policy details or ask providers directly about coverage. We have dedicated insurance teams to navigate you through the coverage options.

Get a Second Opinion for Urethroplasty Surgery

A second opinion helps confirm if the diagnosis is right and takes you through the other treatment options (if available). This becomes extra important with complex or recurring strictures. You will need to gather medical records, research good urologists and book a consultation. CARE Hospitals gives detailed second opinions from expert urologists. We look at your full medical history, do a detailed exam, analyse images & give advice.

Conclusion

Urethroplasty surgery offers a life changing solution for people who do not deal very well with urethral strictures. Many doctors rate this procedure above alternatives like dilatations because it addresses the root problem instead of just managing symptoms.

CARE Group Hospitals' team of specialists handles complex cases with precision. Their combination of innovative technology and individual-specific care leads to impressive success rates. The relief from chronic urinary issues makes up for the temporary discomfort of surgery and recovery, though urethroplasty might seem intimidating initially.

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Urethroplasty Surgery Hospitals in India

Frequently Asked Questions

Urethroplasty is a surgical procedure that repairs your urethra - the tube carrying urine from your bladder outside your body. Your surgeon performs this operation when scar tissue develops inside the urethra. The procedure involves connecting two healthy ends after removing scar tissue or rebuilding the blocked section with tissue from another part of your body.

Most patients experience mild discomfort rather than severe pain. Modern anaesthesia makes the procedure painless. You might notice some swelling, bruising, and catheter-related discomfort that lasts 4-5 days. Your doctor will give you pain medication to keep you comfortable during recovery.

The surgery's duration depends on repair complexity. Most operations last 2-3 hours. Complex cases might take 5-6 hours.

Common complications include:

  • Bleeding and infection
  • Catheter leakage or blockage
  • Urinary tract infections
  • Scar tissue recurrence
  • Erectile dysfunction 
  • Minor penile shortening or curvature
  • Changes in ejaculation

Recovery usually takes 4-6 weeks. A catheter stays in place for 2-4 weeks during healing. You might go home the same day or stay one night in the hospital. Sexual intercourse, strenuous activities, and heavy lifting should be avoided for six weeks after surgery.

Your doctor will locate the stricture through tests like a retrograde urethrogram or cystoscopy. You need to:

  • Stop blood-thinning medications
  • Fast after midnight before surgery
  • Shower with antibacterial soap

General anaesthesia will be used during the operation. Your surgeon creates an incision underneath your penis, in your scrotum, or between your scrotum and anus to reach the urethra. A catheter helps maintain urine flow during healing after the stricture repair.

You will need regular check-ups after your operation. The first appointment happens 2-3 weeks after surgery. Your surgeon will use a voiding cystourethrogram to check proper healing before catheter removal. Additional visits help monitor your recovery progress.

Clear liquids are the best choice right after surgery. You can then move to your normal diet gradually. Patients with buccal grafts should start with fluids and soft foods such as scrambled eggs or mashed potatoes. Normal eating can resume once chewing becomes painless—usually within 2-4 days. Your urinary system needs 6-8 glasses of water daily.

The procedure works best for people with recurrent urethral strictures that don't respond to endoscopic treatment. 

Walking for a short period each day promotes recovery. Ice packs reduce swelling during the first 48 hours. Your body needs six weeks without straining or heavy lifting.

The procedure uses general anaesthesia to keep you comfortable throughout.

Some patients might need alternative treatments if they cannot handle the mild stress of a two-hour procedure.

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