Urethral stricture treatment in Mardin
Treating narrowing of the urethra, the tube that carries urine out of the bladder, by scar tissue that causes a weak and interrupted stream: with dilation, endoscopic cutting (urethrotomy) or open surgery that rebuilds the urethra (urethroplasty).
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What is urethral Stricture Treatment?
A urethral stricture is a narrowing of the urethra caused by scar tissue (fibrosis) forming on its inner surface. It is much more common in men; urinary catheters and endoscopic procedures through the urethra, injuries such as falling astride an object or a pelvic fracture, sexually transmitted infections and skin diseases such as lichen sclerosus are the main causes; in some cases no cause is found. Symptoms are a weak, thin stream, straining to pass urine, a feeling of not emptying the bladder, a split stream, dribbling and repeated urinary infections; these can be confused with an enlarged prostate. Diagnosis uses urine flow measurement (uroflowmetry), an X-ray after contrast is put into the urethra (urethrography) and cystoscopy. Treatment is chosen according to the site and length of the stricture and previous procedures. For short strictures appearing for the first time, internal urethrotomy, which cuts the stricture from inside with a camera, or gradual dilation can be used; however, the recurrence rate is high and repeated procedures become less and less successful. For long, recurrent or injury-related strictures, urethroplasty, which removes the narrowed section and joins the ends or widens it with tissue taken from the inside of the cheek, gives the most lasting result.
How is urethral Stricture Treatment done?
- Questions about symptoms, urine test and culture, measuring urine flow and urine left in the bladder
- Urethrography and cystoscopy to find the site and length of the stricture
- For a short stricture, cutting it with a camera (urethrotomy) or dilating it under spinal or general anaesthesia
- For a long or recurrent stricture, urethroplasty: removing the narrowed section and joining the ends, or repairing with tissue from inside the cheek
- A catheter for a set time, then a flow check after it is removed
Who is urethral Stricture Treatment suitable for?
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