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Contents
- Urethral stricture treatment method
- Urethral stricture What is urine?
- types of urethral stricture
- anterior urethral stricture
- posterior urethral stricture
- causes of urethral stricture
- best treatment for urethral stricture Urine
- Dilatation and ureterotomy
- Urteroplasty
- Jahanshahr Urology Center: prostate laser, genital warts and erectile dysfunction treatment, microscopic varicocele and impotence treatment, kidney stone laser, men's cosmetic surgery in Karaj, bladder tape, erection shockwave Peyronie's plaque shockwave, prostate shockwave, outpatient vasectomy in Karaj, vasectomy in Karaj, infertility treatment in Karaj, treatment of prostate cancer and urinary incontinence, flexible cystoscopy, treatment of genital and urinary infection, genital reconstructive surgery, venereal disease, etc. In Jahanshahr Karaj
Urethral stricture treatment method
The urethra is a tube that carries urine from the bladder to the outside of the body, and urethral stricture is the narrowing of the urethra, which can be caused by a wound or swelling caused by injury or infection. Urethral stricture can cause difficulty urinating, urinary tract infection, swelling, infection, or damage to the kidneys.
What do you know about the best treatment for urethral stricture? There is currently no cure for urethral stricture, but procedures such as dilation, urethral or urethroplasty can be used to treat it, and men are significantly more affected by urethral stricture than women.
What is urethral stricture?
Urethral stricture due to tissue accumulation Scars occur in the urethra, which is actually the outlet of urine from the bladder, and the narrowing of this channel slows down or blocks the ability to urinate. Men have a longer urethra than women and children, so it is more likely that the urethra will be scratched or narrowed.
The urethra in men, which extends from the bladder to the tip of their penis, is about 20 cm long, and this duct is formed by a It is surrounded by vascular tissue called Corpus spongiosum. Stenosis or stenosis can occur anywhere in the urethra and is classified based on its location.
Types of urethral stricture
Urethral stricture is divided into several categories, which we will discuss further.
Anterior urethral stricture
Anterior urethral stricture is the most common type of urethral stricture. It is present in any part of the urethra, from the urethra at the tip of the penis to the bulbous urethra located behind the scrotum. Anterior urethral stricture is often caused by injuries to the genital area.
Among the injuries caused by standing on both sides of an object, which occurs when the legs are placed on both sides of the same object, such as sitting on a bicycle and when the top tube of the bicycle is placed between the legs.
Posterior urethral stricture
This type of urethral stricture is caused by tissue formation. A scratch or scar and narrowing of the urethra occurs 2 to 5 cm from the bladder, caused by more severe injuries such as a hip fracture or radiation therapy.
Posterior urethral strictures result in complete obstruction or a deep cut and wound that completely separates one part of the urethra from another, effectively preventing urination.
causes of urethral stricture
Shrinkage or narrowing of the urethra usually occurs due to chronic inflammation or the creation of wounds and scratches anywhere in the urethra. In many cases, the exact cause of the ulcer remains unknown.
But there are some risk factors known to increase the risk of urethral stricture, including:
- Injury from previous medical procedures, such as prostate surgery or ureteroscopy.
- Radiation therapy
- Intermittent or long-term use of catheters.
- Injury or trauma to the external genitalia, perineum, or Pelvis.
- Prostate, penis or other urological cancers.
- Infections caused by sexually transmitted diseases such as gonorrhea and chlamydia.
The best treatment for urethral stricture
Currently, there is no medicine to treat There is no urethral stricture. However, depending on the location of scar tissue, the extent of urethral involvement, and also based on past treatments, there are effective methods that can treat urethral stricture.
Dilatation and ureterotomy
Dilation and urethrotomy are two minimally invasive methods for treating urethral stricture are urine These methods are used when the length of the created stricture is short (less than 1.5 cm in length) and also for strictures located in the bulbous urethra (the part behind the scrotum and inside the body) (especially when the patient does not have other treatments done in the past), they are appropriate. Both of these procedures involve opening the narrowed urethra to increase the diameter of the urethra and improve urine flow.
Dilation is a process in which the narrowed part of the urethra is gradually stretched. In this process, small balloons or catheters called "catheters" are used to gently stretch the tissue of the urethra. This treatment option should be repeated regularly. However, dilatation can lead to bleeding and infection, or sometimes it may create a second or false urethra.
Urterotomy is another method for Opening the urethra is a scar that uses a tool called a cystoscope to visualize the degree of stricture and also cut the scar tissue to widen the urethra.
This procedure restores the ability to urinate and is usually done on an outpatient basis. In this method, the patient can be discharged on the same day of operation. However, ureterotomy can also lead to bleeding and infection, but these resolve spontaneously and resolve completely within 1-2 days.
Urethral dilatation and urethral dilation are both primary treatment options. For men with short urethral strictures, both methods are successful 50 to 75 percent of the time. However, patients should not undergo these procedures frequently, because performing more than 1-2 dilation or ureterotomy procedures can prolong the length of scar tissue or worsen its severity.
Urethroplasty
Urthroplasty is a very successful definitive surgical treatment for men with longer strictures or scar tissue outside the bulbous urethra, as well as for patients who have not been treated using previous minimally invasive procedures.
Urthroplasty is a reconstructive surgery that restores fluid flow through the urethra and It offers better long-term results for the treatment of urethral stricture.
In most cases, the scarred part of the urethra is removed and the two ends are stitched together to reconnect the urethra. For strictures that are longer or closer to the tip of the penis, a graft from the surrounding skin or from the cheek may be needed to hold the urethra together and create a narrower urethra.
Urthoplasty is a procedure that is considered the gold standard for treating urethral strictures and, depending on the technique used, has a long-term success rate of 80 to 95 percent, especially when performed by It can be done by a trained specialist. Microscopic varicocele and impotence treatment, kidney stone laser, men's cosmetic surgery in Karaj, bladder tape, erection shock wave, Peyronie's plaque shock wave, prostate shock wave, outpatient vasectomy in Karaj, vasectomy in Karaj, infertility treatment in Karaj, prostate cancer and urinary incontinence treatment, flexible cystoscopy, genital and urinary infection treatment, genital reconstructive surgery, venereal disease, etc. In Jahanshahr Karaj
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