Urethroplasty – A surgery to remove scar tissue and widen the urethra. Our surgeon specializes in performing urethroplasty for strictures caused by prostate cancer radiation therapy. This surgery is often performed after urethral dilation fails to fix the stricture, or when the stricture is too long for dilation.
Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures. The types of surgeries are varied and depend upon the location, cause, and length of the stricture. Most surgeries take between three to six hours to complete.
An incision is made over the area of the stricture in the penis, scrotum, or perineum (the area between the scrotum and the anus). After surgery, a urethral catheter is left in for two to four weeks depending upon the type of surgery that was performed. When patients return to clinic the bladder is filled with x-ray contrast and the catheter is gently removed.
While x-rays are being taken, the patient voids and the area of the surgery is evaluated. If the area of surgery is healed, then the catheter is left out and patients begin to void normally.
In urethroplasty, a surgeon locates and removes the narrowed section of the urethra and joins together the two healthy pieces. If the scarred segment of the urethra is too long to be removed, doctors may use tissue from other parts of the body to recreate the normal size of the urethra. This increases the size of the urethra, allowing urine to flow without difficulty.
Urethroplasty is performed in the hospital but typically as an outpatient procedure, allowing you to go home the same day. Some people may be discharged the following day, if they need more time for recuperation. A catheter remains in the urethra for two to three weeks after surgery to help with urination while the urethra heals.
The long-term success rate of urethroplasty is high. About 80 percent to 90 percent of people who have had urethroplasty can expect permanent relief from urethral stricture.