What is end to end Urethroplasty?
“Urethro” (urethra) + “plasty” (to fix) = to fix the urethra. Urethroplasty is an open surgical reconstruction or replacement of the urethra that has been narrowed by scar tissue and spongiofibrosis (urethral stricture).
What is the prognosis for urethral stricture?
What is the long-term outlook? Many people have a good outcome after treatment for a urethral stricture. You may need future treatments as well if the stricture is the result of scar tissue. In some cases, stricture can cause urinary retention, the inability to urinate due to complete blockage in the urethra.
Do urethral strictures get worse over time?
Bleeding from the urethra means that the scar was torn and the stricture will soon recur and result in worsened stricture length and density. Overall, long-term success is poor and recurrence rates high. Once interval dilatation is discontinued, the stricture will recur.
Are urethral strictures permanent?
This delicate procedure generally fixes the urethral stricture as well as any spongiofibrosis. Most of the time, it is a permanent cure.
What is a Meatoplasty procedure?
Meatoplasty is a surgery in which the end of a child’s penis is surgically opened and the edges are stitched together. This procedure is done when the opening at the end of the boy’s penis is too small or the shape of the hole distorts the urinary stream, making it difficult for him to urinate (pee).
What happens when urethroplasty fails?
Patients with urethroplasty failure typically have less healthy tissue to use for reconstruction and they may have denser, more extensive scarring. Surrounding tissue for flaps may have already been used and the penile blood supply may be altered.
Can you live with a urethral stricture?
If left untreated, a urethral stricture can cause serious problems, including bladder and kidney damage, infections caused by the obstruction of urine flow, and poor ejaculation and infertility in men. Fortunately, strictures can be successfully treated.
Why is my pee hole closing?
Uric acid and ammonia crystals are the most common cause for the narrowing of the meatus. These crystals are found in the urine and can be left in the diaper before your baby is changed. These crystals may cause a low grade inflammation which can cause the meatus to narrow over time.
What are the complications of urethral strictures?
The main direct complications of urethral surgery are bleeding, infection, incontinence, impotence, and stricture recurrence. Patient summary: Urethral stricture is a common urologic disease affecting men. Urethral strictures result in lower urinary tract symptoms and affect quality of life.
Can urethral stricture cause death?
If untreated, it can lead to severe complications such as sepsis, renal failure and hyperkalaemia, and can eventually cause death.
How painful is a Meatoplasty?
Most children experience minimal pain or no pain following meatoplasty. Some stinging or burning while urinating is normal. A small amount of bloody drainage is also normal.
What is the difference between Meatotomy and Meatoplasty?
The meatus (mee-AY-tis) is the opening in a boy’s penis where the urine (pee) comes out. In meatal stenosis (mee-AT-ul steh-NO-sis), the meatus is too small. Meatoplasty (also called meatotomy) makes the meatus bigger so that pee can come out normally.