Monday, 1 June 2015

Best Treatment of Urethral Strictures in India

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What Is Urethral Strictures?

Urethral stricture refers to any narrowing of the urethra for any reason whether or not it actually impacts the flow of urine out of the bladder. Any inflammation of urethra can result in scarring, which then can lead to a stricture or a narrowing of the urethra in treatment of urethral strictures. Trauma, infection, tumours, surgeries, or any other cause of scarring may lead to urethral narrowing or stricture. Mechanical narrowing of the urethra without scar formation (developmental causes or prostate enlargement) can also narrow the urethra. Corrective treatment is only necessary if your stricture causes problems. You'll need frequent follow-up exams for at least a year after treatment to ensure the stricture doesn't recur and that you remain free of infection.

What is the Treatment of Urethral Strictures?

Catheterization

 Inserting a small tube (catheter) into your bladder to drain urine and relieve pain — in the case of a complete blockage — is the usual first step in treatment. Self-catheterization is an option if you're diagnosed with a short stricture in treatment of urethral strictures. Simply inserting a catheter may correct and open the urethra, if done periodically.

 Urethroplasty

Urethroplasty surgically removes the narrowed section of your urethra or enlarges it. The recurrence of strictures after urethroplasty is low.

 Endoscopic internal urethrotomy

Your doctor inserts a cystoscope a thin optical device into your urethra. Instruments inserted through the cystoscope into the urethra remove the stricture or vaporize it with a laser. This surgical procedure offers faster recovery, minimal scarring and less risk of infection, although recurrence is possible.

 Dilation

 Your doctor inserts a tiny wire through the urethra and into the bladder. Progressively larger dilators pass over the wire to gradually increase the size of the opening. This outpatient procedure may be an option if you have recurrent strictures in treatment of urethral strictures.

Implanted stent or permanent catheter. If you have a severe stricture and choose not to have surgery, you may opt for a permanent artificial tube (stent) to keep the urethra open, or a permanent catheter to drain the bladder. However, these procedures have several disadvantages, including risk of bladder irritation, discomfort and urinary tract infections. They also require close monitoring.

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