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Urethroplasty (Urethral Stricture Surgery)

Surgical repair of urethral stricture and restoration of urinary flow.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Urethroplasty (Urethral Stricture Surgery)?

Urethroplasty is the surgical repair of urethral stricture. Excision and primary anastomosis (EPA), dorsal onlay graft urethroplasty, or flap urethroplasty techniques are used depending on the length and location of the stricture.

EPA is the gold standard in short strictures (<2 cm bulbar urethra) with a 90-95% success rate. In long strictures, buccal mucosa (cheek mucosa) graft is the most commonly used substitution material.

The most common causes of urethral stricture are trauma, iatrogenic (catheterization, endoscopic procedures), idiopathic, and lichen sclerosus (BXO). Urethroplasty provides superior long-term success compared with repeated dilation or endoscopic urethrotomy.

Symptoms

Weakened urinary stream
Difficulty voiding (need to strain)
Recurrent urinary tract infection
Urinary retention
Splashing (spraying of the urinary stream)

Risk Factors

Stricture recurrence (5-15%)
Erectile dysfunction (5-10% in bulbar urethroplasty)
Urethral fistula
Wound infection
Pain and numbness at the buccal mucosa donor site

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If the urinary stream is progressively weakening
  • If acute urinary retention develops
  • If recurrent urinary tract infections occur
  • If the stricture recurs after dilation or urethrotomy

Treatment Methods

01
Excision and primary anastomosis (EPA, in short strictures)
02
Dorsal onlay buccal mucosa graft urethroplasty
03
Ventral onlay graft urethroplasty
04
Two-stage urethroplasty (in complex cases)
05
Postoperative voiding cystourethrography (control)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.