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Constricted Urethra Surgery
Contact us for a Treatment Plan
Contact us for a Treatment Plan
What Is Constricted Urethra Surgery?
The urethra’s primary function is to transport urine out of the body, and in men, it also plays a crucial role in ejaculation. When scar tissue forms due to swelling, injury, or infection, it can narrow the urethra, restricting or slowing the flow of urine, a condition known as a urethral stricture.
A urethral stricture is a medical condition where scarring narrows the urethra, the tube responsible for transporting urine from the bladder to the outside of the body. This narrowing can be caused by injury, infections, or surgeries in the pelvic region. The reduced size of the urethra can lead to symptoms such as a slow or weak urine stream, difficulty starting or stopping urination, frequent urinary tract infections, or complete urinary retention in severe cases. In severe cases, a urethral stricture can lead to a sudden inability to urinate, known as acute urinary retention. Over time, the condition can worsen if left untreated, and prompt diagnosis and treatment are essential to avoid complications like kidney damage or chronic urinary tract infections. Treatment options may include dilation, surgery, or the use of a catheter.
Urethral strictures are most commonly caused by chronic inflammation or injury that leads to scar tissue formation, narrowing the urethra and making urination difficult. Scar tissue can develop gradually due to various factors, including injuries to the penis or scrotum, sexually transmitted infections (STIs) like chlamydia, the use of urinary catheters or surgical instruments during medical procedures, urethral or prostate cancer, and radiation therapy. In some cases, inflammation or injury occurs long before symptoms appear, while in others, the stricture develops soon after the initial damage.
Who Are the Eligible Candidates for the Constricted Urethra Surgery?
Eligible candidates for urethral stricture treatment include individuals experiencing symptoms such as a weak urine stream, difficulty urinating, straining to pee, frequent urinary tract infections, or urinary retention. Treatment is recommended for those whose strictures cause significant discomfort, recurrent infections, or risk of complications like kidney damage. People with mild strictures may not require immediate intervention, but those with severe blockages, persistent symptoms, or complications are strong candidates for medical or surgical treatment. A urologist will assess the severity of the stricture and determine the most appropriate treatment based on individual health conditions and medical history.
Surgery for a constricted urethra, often referred to as urethroplasty, involves removing the scar tissue that is causing the narrowing of the urethra. During the procedure, a surgeon typically makes an incision in the perineum or lower abdomen to access the urethra, depending on the location of the stricture. Once the stricture is located, the surgeon carefully excises the scar tissue and reconnects the healthy parts of the urethra, often using a graft if necessary. This allows for the restoration of normal urine flow.
PRE-SURGICAL PREPARATIONS
Before surgery, the patient undergoes a thorough medical evaluation, including a detailed medical history review, physical examination, and diagnostic tests such as uroflowmetry, cystoscopy, retrograde urethrogram, or ultrasound to assess the severity and location of the stricture. Blood tests and urine analysis may also be conducted to check for infections or other underlying conditions.
Patients are typically advised to stop taking certain medications, such as blood thinners, a few days before surgery to reduce the risk of excessive bleeding. Fasting for a specific period before the procedure is often required, especially if general anesthesia will be used. Additionally, patients should arrange for post-surgical care, including assistance with mobility and daily activities during the recovery period. The healthcare provider will also provide detailed instructions on hygiene, antibiotic use (if necessary), and what to expect on the day of surgery to ensure a smooth and complication-free experience.
TYPES OF ANAESTHESIA ADMINISTERED
For urethral stricture surgery, different types of anesthesia may be used depending on the procedure’s complexity and the patient’s needs. Local anesthesia is commonly used for minimally invasive treatments like urethral dilation or internal urethrotomy, numbing only the area around the urethra while allowing the patient to remain awake. For more invasive procedures, such as urethroplasty, regional anesthesia (spinal or epidural) may be administered to numb the lower body, allowing the patient to stay awake but pain-free. In more complex cases, general anesthesia is used, where the patient is fully unconscious and unaware during the procedure. General anesthesia is typically used for longer or more involved surgeries, with the patient requiring a longer recovery time afterward. The choice of anesthesia depends on factors like the procedure’s invasiveness and the patient’s overall health.
TECHNIQUES FOR THE OPERATION
Surgical treatment for a constricted urethra (urethral stricture) depends on the severity and location of the stricture. The most common procedures include:
- Urethral Dilation : Urethral dilation is a minimally invasive procedure used to widen a urethral stricture by gradually stretching the narrowed area. A urologist inserts a series of thin, flexible rods called dilators into the urethra, starting with the smallest and progressing to larger sizes. This helps to open the stricture and improve urine flow. The procedure is typically done on an outpatient basis with local anesthesia. While urethral dilation provides temporary relief, it does not remove the scar tissue, and the stricture may return over time, requiring repeated treatments.
- Internal Urethrotomy (Direct Vision Internal Urethrotomy – DVIU) : Internal urethrotomy, also known as Direct Vision Internal Urethrotomy (DVIU), is a minimally invasive endoscopic procedure used to treat urethral strictures. During the procedure, a urologist inserts a small scope (cystoscope) into the urethra, which has a tiny blade or laser at the end. The surgeon then carefully cuts through the scar tissue to widen the urethra and restore normal urine flow. This procedure is usually performed under local or general anesthesia, and patients can return home the same day. While recovery is quick, there is a risk of the stricture recurring, especially in patients with long or dense scar tissue.
- Urethral Reconstruction (Urethroplasty) : Urethroplasty is a more complex but permanent surgical solution for severe or recurrent urethral strictures. In this procedure, the surgeon removes the narrowed section of the urethra and reconnects the healthy ends to restore normal function. In cases where the urethra is too damaged, the surgeon may use tissue grafts from the mouth or surrounding areas to reconstruct the urethra. This surgery has a higher success rate compared to dilation and internal urethrotomy, with a lower risk of recurrence. However, the recovery process is longer, and patients may need to use a catheter for several weeks to allow the urethra to heal properly.
Preparation Before Surgery
Before surgery, the patient undergoes a thorough medical evaluation, including a detailed medical history review, physical examination, and diagnostic tests such as uroflowmetry, cystoscopy, retrograde urethrogram, or ultrasound to assess the severity and location of the stricture. Blood tests and urine analysis may also be conducted to check for infections or other underlying conditions.
Patients are typically advised to stop taking certain medications, such as blood thinners, a few days before surgery to reduce the risk of excessive bleeding. Fasting for a specific period before the procedure is often required, especially if general anesthesia will be used. Additionally, patients should arrange for post-surgical care, including assistance with mobility and daily activities during the recovery period. The healthcare provider will also provide detailed instructions on hygiene, antibiotic use (if necessary), and what to expect on the day of surgery to ensure a smooth and complication-free experience.
Recovery after urethral stricture surgery, such as urethroplasty, varies based on the complexity of the procedure and the individual’s overall health.
- Initially, patients may experience discomfort, swelling, and the presence of a urinary catheter to help drain urine while the healing process begins.
- Pain management, antibiotics to prevent infection, and regular follow-up visits are essential for a smooth recovery.
- Most patients can return to normal activities within a few weeks, but strenuous physical activities or heavy lifting should be avoided for several months to prevent complications.
- Full recovery may take up to 8 weeks or more, depending on the extent of the surgery.
Key Recovery Facts Of Constricted Urethra Surgery
- After surgery, key points to ensure a successful recovery include proper wound care, managing pain with prescribed medications, and following the surgeon’s instructions regarding urinary care.
- The urinary catheter is typically removed after a few days, though it may remain in place longer in some cases.
- Patients should monitor for any signs of infection, such as fever or increased pain, and seek medical attention if these occur. It’s important to attend follow-up appointments to check the healing progress and ensure the stricture does not recur.
- In some cases, additional treatments or procedures may be needed, but with proper care, most patients experience significant improvement in their ability to urinate and overall quality of life.
Benefits of Having Constricted Urethra Surgery
Undergoing treatment for a constricted urethra in Turkey offers several significant benefits:
- Turkey is home to internationally accredited hospitals and clinics that adhere to strict medical standards. Many surgeons in Turkey are highly trained and experienced, having studied and worked in leading medical institutions worldwide. The quality of care provided is often on par with that of Western countries, ensuring a successful outcome for patients.
- One of the most attractive benefits of undergoing constricted urethra surgery in Turkey is the cost-effectiveness. The prices for procedures in Turkey are considerably lower compared to those in the U.S. or Europe, without compromising the quality of care. This makes Turkey an appealing option for medical tourism, offering both excellent service and affordable pricing.
- Turkey is known for investing in cutting-edge medical technology, ensuring that patients receive the best possible care using the latest equipment and techniques. This is particularly important in delicate procedures such as urethral stricture surgery, where precision and advanced tools can enhance the outcome and reduce recovery time.
- Clinics in Turkey offer comprehensive aftercare services, including follow-up appointments, consultations, and support throughout the recovery process. This ensures that patients are closely monitored and receive the necessary assistance for a smooth and successful recovery.
- The surgeons in Turkey are renowned for their expertise in urology, including the treatment of urethral strictures. Many have years of experience performing these procedures and are well-versed in the latest techniques, ensuring that patients receive the best possible results.
- Turkey is well-connected by air, making it an accessible destination for international patients. It offers a combination of modern medical facilities and a rich cultural experience, allowing patients to recover in a comfortable environment while enjoying the country’s hospitality and tourism offerings.
How Much Does Constricted Urethra in Turkey Cost?
Choosing the right clinic for urethral stricture surgery can be a daunting task, especially with the abundance of commercial advertisements and social media promotions. In such an environment, it’s important to carefully evaluate clinics that align with your needs and priorities. So, what are the key factors to consider when shortlisting the right clinic for urethral stricture treatment?
The criteria for selecting the right clinic should include:
- Honest medical advice, free from commercial influences.
- Establishing a strong rapport with patients to understand their concerns and manage expectations.
- Prioritizing patient well-being and safety above all else.
When it comes to pricing, a careful review of the following factors will ensure a realistic estimation:
- The clinic’s professional reputation.
- The complexity and nature of the surgical procedure involved.
- The surgeon’s credentials and the quality of after-care services.
- Clear terms and conditions regarding clinical liabilities and legal aspects.
While cost might be a driving factor for seeking surgery abroad, it is essential not to prioritize it over quality. Focusing solely on price without ensuring the clinic meets these critical standards could lead to complications and incur additional costs in the long run. As Prospero Medical, we uphold a transparent pricing policy that clearly outlines every service component, helping patients make informed decisions. Our goal is to offer the most accurate pricing, reflecting the level of medical expertise, experienced surgeons, and exceptional after-care service that we provide in our clinics. We are committed to delivering high-quality, professional medical services at a price that is both realistic and aligned with the value we bring to our patients.