Stricture Urethra

Best Urethral stricture Treatment in Hyderabad

.Max health hospitals has best urologists with 10 + years of experience in the field of urology in treatment of various causes of urethral stricture with advanced and best technology with best outcomes through safe and successful surgery with less hospital stay duration and aiming to cure future urinary flow related problems.

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Urethral Stricture-Overview

A urethral (u-REE-thrul) stricture involves scarring that narrows the tube that carries urine out of your body (urethra). A stricture restricts the flow of urine from the bladder and can cause a variety of medical problems in the urinary tract, including inflammation or infection

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What are the causes of urethral stricture ?

Causes

Scar tissue, which can narrow the urethra, can be due to:

  • A medical procedure that involves inserting an instrument, such as an endoscope, into the urethra
  • Intermittent or long-term use of a tube inserted through the urethra to drain the bladder (catheter)
  • Trauma or injury to the urethra or pelvis
  • An enlarged prostate or previous surgery to remove or reduce an enlarged prostate gland
  • Cancer of the urethra or prostate
  • Sexually transmitted infections
  • Radiation therapy

Urethral stricture is much more common in males than in females. Often the cause is unknown.

What are the symptoms of urethral stricture ?

Symptoms

Signs and symptoms of urethral stricture include:

  • Decreased urine stream
  • Incomplete bladder emptying
  • Spraying of the urine stream
  • Difficulty, straining or pain when urinating
  • Increased urge to urinate or more-frequent urination
  • Urinary tract infection
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What are the investigations of urethral stricture ?

To make a diagnosis, your doctor will ask about your symptoms and your medical history and conduct a physical exam. Your doctor might recommend a number of tests to determine the cause, location and length of the urethral stricture, including:

  • Urinalysis — looks for signs of infection, blood or cancer in your urine
  • Urinary flow test — measures the strength and amount of urine flow
  • Urethral ultrasound — evaluates the length of the stricture
  • Pelvic ultrasound — looks for the presence of urine in your bladder after urination
  • Pelvic magnetic resonance imaging (MRI) — assesses whether your pelvic bone is affecting or is affected by your condition
  • Retrograde urethrogram — uses X-ray images to check for a structural problem or injury of the urethra as well as the length and location of the stricture along the urethra
  • Cystoscopy — examines your urethra and bladder using a thin, tubelike device fitted with a lens (cystoscope) to view these organs
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What are the treatment options for urethral stricture ?

Corrective treatment at Mayo Clinic is necessary only if your stricture causes problems. If you do undergo treatment, you’ll need frequent follow-up exams for at least a year to ensure the stricture doesn’t recur and that you remain free of infection.

Your treatment will depend on your situation. Treatment options at Mayo Clinic include:

  • Catheterization. Inserting a small tube (catheter) into your bladder to drain urine is the usual first step for treating urine blockage. Your doctor might also recommend antibiotics to treat an infection, if one is present. Self-catheterization might be an option if you’re diagnosed with a short stricture.
  • 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 urethral opening. This outpatient procedure may be an option for recurrent urethral strictures.
  • Urethroplasty. This involves surgically removing the narrowed section of your urethra or enlarging it. The procedure might also involve reconstruction of the surrounding tissues. Tissues from other areas of the body, such as your skin or mouth, may be used as a graft during reconstruction. The recurrence of urethral stricture after a urethroplasty is low.
  • Endoscopic urethrotomy. For this procedure, your doctor inserts a thin optical device (cystoscope) into your urethra, then inserts instruments through the cystoscope to remove the stricture or vaporize it with a laser. This surgical procedure offers a faster recovery, minimal scarring and less risk of infection, although recurrence is possible.
  • 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 a risk of bladder irritation, discomfort and urinary tract infections. They also require close monitoring. Urethral stents are often a measure of last resort and are rarely used.

Generally, whenever urethroplasty is possible for treating urethral stricture, doctors prefer that procedure over other surgical treatments. The conventional wisdom is that performing urethroplasty early during the course of treatment spares you from needing multiple endoscopic urethrotomies, if urethral stricture recurs.

Frequently Asked Questions on URSL


By avoiding injury to the pelvic area of the body, it may be possible to prevent some forms of urethral stricture. Taking care to avoid infection may also help prevent this condition.

Urethral stricture has a generally positive outcome. It is a treatable condition. However, this condition can happen again, requiring multiple procedures. Follow-up appointments with your healthcare professional will be needed after being treated for urethral stricture.

Most commonly, urethral strictures are managed by urologists, who are doctors with training and specialization in the urinary system.

Treatment of urethral stricture is mainly surgical. Injection of drugs like mitomycin C and triamcinolone into scar tissue has been found to reduce urethral stricture in some studies.


The use of laser for the treatment of urethral strictures is also being evaluated but the initial results are not encouraging.

 

The overall success is less than 50% in the long term follow up studies.

 

The success of this procedure is over 80% in the long term. It to some extend also depends on the experience of the urologist doing the surgery.

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Vamshi KrishnaVamshi Krishna
16:15 23 Nov 22
Dr. Krishna Chaitanya is very experienced physician. We are consulting the doctor from past 4 years. And hospital 🏥 is also good 👍. My feedback isn't because I know Dr. Krishna Chaitanya, the way he treat the patient with right procedure.
tulasi dvtulasi dv
13:33 22 Nov 22
Being new to Hyderabad, luckily came to know about Doctor Puneet (Vascular Surgeon - Diabetic Foot care) through Google (Good) Reviews.Hospital was good with multi specialist doctors. Clean environment with seating facilities, restroom, drinking water. Receptionist, nurses, pharmacy staffs were so kind & helpful. As far as i know, it is Walk - In to meet any Doctor (First cum first served). Hospital is equipped with latest technology medical machine.Met Dr. Puneet Joopali for Diabetic Vascular issue for my elderly MIL. We were very happy & satisfied after consulting Doc. He speaks well, highly knowledgeable, easy to converse, explains well. Met him again to clear a doubt even without an appointment. He was kind enough to explain. I got his number & consulted him for general medical advice. He instantly replied over message. Very difficult to find doctors of this type who are easy to approach & get best advice.For Diabetics, Dr. Puneeth directed us to Dr. SVP Reddy. He was also easy to talk with, consulted well & with his medication sugar level is under control.Only one disadvantage we felt was that the prescribed tablets were Hyderabad manufactured & they were available only in hospital pharmacy. We couldn't get it in outside big pharmacy in Hyderabad city. Thanks to both doctors and also Max health Staffs.
MURTHiMURTHi
11:26 17 Aug 22
I have been admitted in Max health hospital with the very low platelet count (8000) Dr. SVP Reddy sir (General Physician) treated excellent. Nursing staff and duty doctors are serviced very well even in night time also. House keeping staff serviced very well and Duty doctors follow up also nice daily. I will recommend this hospital. I have joined in the hospital with lot of problem. But discharged without any issues.Especially Thanks to the administration staff.
MBL SreedharMBL Sreedhar
16:22 11 Jul 22
It was my first ever dental treatment. I have multiple problems of yellowish teeth, swollen gums and cavities. I got my teeth cleaned, gum surgery was done and cavities were filled with high quality cement. It was quite a great experience being treated by Dr Manjusha madam. She made me feel comfortable. The treatment was painless. I would recommend this clinic if you have any kind of dental problems.
Pardha Saradhi ThottempudiPardha Saradhi Thottempudi
14:18 28 Jan 22
Good but blood samples is the draw back who blood samples who is going to check but overall is good and hospital is located at the main centre of location and it's very easy to find out the hospital and it's located at KPHB road number 1 commun beside reymond show room infront of chaitanya food court.
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