Surgery urethral stricture is very diverse and requires significant expertise of the urologist who practice. It is very important a good preoperative evaluation as it is a surgery that supports few errors.
The hospital stay is usually short, from outpatient surgery to 2-3 days, depending on the type of intervention. Usually the patient is discharged with a probe must carry few days.
The anesthesia is often performed spinal. Sometimes it requires general anesthesia if needed grafts or think you may be a longer surgery.
Dilation of urethral stricture
Curative treatment is not aimed to stretch the scar without causing more healing to hold true urethral caliber for a while.
Under endoscopic vision internal urethrotomy
Internal urethrotomy refers to any process that opens the cutting area transurethrally. It is only indicated in very short stenoses localized in certain areas of the urethra (bulbar urethra) and is considered a curative treatment rarely due to the high failure rate.
It is the placement of a prosthesis within the urethra in order to maintain adequate caliber after performing an endoscopic urethrotomy. This technique is not widely accepted by experts in urology because of the bad results and complications.
Currently, there thermoexpandable removable prosthesis and whose installation and removal facilities make them suitable for patients unsuitable for complex interventions.
Excision and primary anastomosis
Is a conventional open surgery in which the urethra diseased segment is cleaved and reassembled urethral ends healthy. It is the technique that best results obtained.