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Urethroplasty is regarded as the gold standard treatment for urethral strictures and offers better outcomes in terms of recurrence rates than dilatations and urethrotomies. It is probably the only useful modality of treatment for long and complex strictures though recurrence rates are higher for this difficult treatment group. [1]
A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...
Comparing the two surgical procedures, a UK trial found that both urethrotomy and urethroplasty are effective in treating urethral stricture in the bulbar region. At the same time the more invasive urethroplasty had longer-lasting benefit and was associated with fewer re-interventions.
Urethral sounding is the practice of inserting objects (typically made by metal or silicone) into the urethra for sexual gratification. [1] Urethral dilatation is a urological procedure that uses probes called sounds to enlarge the inside diameter of the urethra and locate obstructions in the urethra, or as a treatment for urethral strictures .
The treatment for PFUDDs is scar excision and primary anastomosis, which means reconnecting the two ends of the urethra that were severed during the pelvic injury.Most patients do well with this but occasionally, stricture of the repair recurs and the patients may require redo surgery.
Treatment is typically with a catheter either through the urethra or lower abdomen. [1] [3] Other treatments may include medication to decrease the size of the prostate, urethral dilation, a urethral stent, or surgery. [1] Males are more often affected than females. [1] In males over the age of 40 about 6 per 1,000 are affected a year. [1]
A meatotomy (/ m iː ə ˈ t ɒ t əm ɪ / [1] [2]) is a form of penile modification in which the underside of the glans is split, extending the urinary meatus.The procedure may be performed by a doctor to alleviate meatal stenosis or urethral stricture.
The protection provided by the foreskin for the glans penis and meatus has been recognized since 1915. In the absence of the foreskin the meatus is exposed to mechanical and chemical irritation from ammoniacal diaper (nappy) that produces blister formation and ulceration of the urethral opening, which eventually gives rise to meatal stenosis (a narrowing of the opening). [1]
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