Urethral stricture is the narrowing of the urethra, which makes urination difficult. For mild to moderate strictures, treatments such as laser therapy or drug-coated balloon dilation can be used. However, for severe or recurrent strictures, the most effective treatment is urethroplasty surgery.
What is Urethroplasty Surgery?
Urethroplasty is a surgical procedure that permanently treats urethral strictures using an open surgical approach. The surgery involves removing the narrowed section of the urethra and reconstructing it using the patient’s own tissue—for example, a mucosal graft taken from inside the mouth (buccal mucosa graft).
How is Urethroplasty Surgery Performed?
- The procedure is performed under general anesthesia.
- The stricture area is surgically opened.
- The narrowed segment is removed, and a graft (patch) is placed in its place.
- The urethra is reshaped and restored to its normal width.
- The surgery typically lasts 2–3 hours.
- Patients usually stay in the hospital for one day.
Who is Suitable for Urethroplasty Surgery?
- Men with severe urethral strictures.
- Patients who have previously undergone laser or balloon treatments without sufficient results.
- Individuals with recurrent or long-standing urethral strictures.
- Those seeking a permanent and definitive solution.
Advantages of Urethroplasty Surgery
- Provides the most permanent solution for urethral strictures.
- The risk of recurrence is much lower compared to laser or balloon methods.
- Urine flow often returns to normal within the first month after surgery.
- Significantly improves the patient’s quality of life.
Recovery Process After Urethroplasty
- A urinary catheter is typically used for about 2–3 weeks post-surgery.
- Mild pain and sensitivity may be present in the surgical area during the first week.
- Patients can usually resume daily activities within 2–3 weeks.
- Recovery is closely monitored through regular follow-ups.
Final Notes
Urethroplasty is the most effective and durable treatment for urethral strictures. When performed by experienced urologists, it offers high success rates and excellent patient satisfaction.