What is Urethroplasty?

Are you having difficulty in passing urine? You might need to visit a urologist to get a thorough examination.

Dr. Sumanta Mishra is one of the best urologists in Bhubaneshwar whom you can consult with.

Dr. Mishra is the founder of UroFirst – an advanced urology center here in Bhubaneshwar.

He is keenly interested and experienced in urosurgeries and performs surgeries for urological cancer and kidney transplants.

Urethroplasty is a surgery that the urologist performs to solve problems with your urethra.

The urethra is the tube that passes the urine out of the body from the urinary bladder.

This surgery might be required to open blockages in your urethra due to the formation of scar tissue or any other probable reason.

To know more about your condition, please consult Dr. Sumanta Mishra. You can book a consult through clinicspots.com, practo.com, lybrate.com, and other health portals.

What are symptoms for which you should visit a urologist?

 Your urethra may be partially or entirely blocked. The blockage may lead to kidney damage, kidney stones, and urinary tract infection.

The symptoms may include pain on the side in the abdomen, decreased urine flow, and frequent urination at night.

Consultation and diagnoses with a urologist:

 When you go for a consultation with Dr. Sumanta, expect the following:

The doctor may ask you questions about your family history, past medical conditions, persisting medical conditions, and allergies if any.

He will conduct a physical examination and send you for imaging tests to confirm his doubts.

The imaging tests help find the cause of obstruction of the urinary tract. There can be various causes of obstruction, such as congenital obstruction, or in adult males after the age of 60, there are chances of enlarged prostate glands.

Scar tissue may replace the normal muscular tissues in the urethra leading to obstruction in the urinary tract.

If the urethra obstruction is diagnosed, your surgeon will schedule a urethroplasty.

What is the process of urethroplasty?

Your surgeon will approach the urethra by making an incision into your muscle tissue. His incision is made either below your penis or below the scrotum.

The surgeon will either simply remove the obstruction or, if required, reconstruct the urethra if it has to be resected.

If the blockage covers a larger area, the surgeon will harvest the tissue of the mouth, genitals, or rectum to supplement the tissue removed from the urethra. 

What should you expect post urethroplasty?

Once your surgery is over, you will be shifted to the recovery room, where you will be monitored till the effects of anesthesia wear off. Mostly, you will get the same-day discharge or maximum the next day.

You will be going home with a urinary catheter inserted at the time of the procedure.

Your doctor will prescribe medications for pain and antibiotics to prevent surgical infection. Possible some medicine to control the bladder spasms may also be prescribed.

If the doctor has used tissue from your mouth to reconstruct the urethra, then a specific mouthwash is also prescribed to keep your mouth free of infections.

A follow-up appointment is scheduled for three weeks later, where the surgeon will recommend radiography to check how well your surgery has healed and if the urine function is well in place.

What are the risks of undergoing urethroplasty?

Every surgery has associated risks, like infection, oozing, and fever.

Other than that, the risks specific to urethroplasty may include: displaced or blocked catheter or urine infection.

Also, there are chances that urethroplasty may not be effective long0term, as there can be rebuilding scar tissue that will have to be cut out again.

You may have nerve damage to fingers, elbows, feet, and legs because of the position of the surgery.

The area of surgery may ooze or leak semen or urine.

You may temporarily experience erectile dysfunction.

Nerve damage, although it may seem problematic, it resolves over time.

Do’s and don’t’s after urethroplasty:

 Things you shouldn’t be doing after the surgery include:

Avoid sitting for long durations.

Do not squat.

You may walk about but with no physical exertion.

The catheter will be out in 2 weeks or so; after that, you should avoid engaging in any sexual activity for at least six weeks.

What you should do is contact your surgeon if you notice that you have a fever, your surgery incision has opened up, or you see blood on your underwear or urine.