Urethral Strictures in 2021 .आपके सवालों के जवाब। क्या नया है ? Success rate of urethral surgery

What is Urethral Stricture? What are the causes of failure of urethroplasty??

A urethral stricture is a process of scarring in or nearby the urethra, which is a tube connecting the urinary bladder to the urinary meatus (for the elimination of urine from the body), which results in the narrowing or blocking of the urinary passage. It occurs more commonly in men as compared to women

What are the common causes of urethral stricture?
Any infection, inflammation, or urethral injury that occurs due to any instrumentation or former foley’s catheterization can result in urethral stricture.

What are the symptoms of Urethral strictures?
slow urine stream, spraying a stream of urine, Painful urination, reduction in the urine output, inadequate emptying of the bladder, and recurrent urinary tract infection.

What is the treatment for Urethral Stricture?
Urethral stricture treatment can only be done by surgical intervention as medicines are not effective

Diagnosis: RGU and MCU (retrograde and antegrade urethrogram are imaging techniques that can help in pinpointing the length, severity, and position, of the stricture.

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Treatment: The selection of treatment of urethral stricture depends upon the length and severity of the stricture. Short strictures: for strictures that are short dilation or cutting the stricture with the help of a laser or knife under the guidance of a specially designed video cystoscope (urethrotomy). Long/recurrent strictures: these strictures involves surgically removing the stricture after which the reconstruction of the area with grafts (buccal /lingual mucosal urethroplasty)is done or in order to end anastomotic urethroplasty