Urethroplasty is a surgical procedure that involves reconstruction or replacement of the urethra. The urethra, which is a tube through which urine flows out of your body, becomes narrow (urethral stricture) due to sexually transmitted diseases, a build-up of scar tissue, inflammation or injury that restricts the flow of the urine, etc. The procedure for urethroplasty takes anywhere from 2 to 5 hours depending on the length and extent of reconstruction. There are many techniques used in urethroplasty to correct urethral stricture including,
Excision and primary anastomotic (EPA) urethroplasty:
This technique is the gold standard for treating short urethral stricture disease.
In this procedure, the narrow segment of the urethra is cut out surgically (excised) and the two free ends of the urethra are joined together.
Buccal mucosa graft urethroplasty:
In this technique, the size or the circumference of the narrowed urethra is increased with the help of a graft.
A graft can be harvested from any part of the body, but it is usually taken from the inner lining of the cheek/mouth (buccal graft) or extra-genital skin is also used.
Penile flap urethroplasty:
In this technique, a flap of the penile skin is used to treat long and complex urethral stricture
Post-surgery, you may experience pain, uneasiness or discomfort. Pain-killers are prescribed for a few days or until the pain subsides. A small catheter is inserted inside the penis until the wound is healed. An antibiotic ointment is applied to the wound to prevent infection.