Urethroplasty – Permanent Solution for Urethral Stricture

Safe and advanced surgery to repair narrowed urethra, restore normal urine flow, and prevent recurrent infections.

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Permanent Cure
Restores Urine Flow
Prevents Recurrence
Minimally Invasive Options
Expert Urologists
Improves Quality of Life

What is Urethroplasty?

Urethroplasty is a definitive surgical procedure to repair or reconstruct the urethra that has narrowed due to a urethral stricture (scar tissue). Unlike dilation or endoscopic urethrotomy, which are temporary measures, urethroplasty provides a long-term or
permanent cure.

Symptoms

Incomplete bladder emptying
Painful urination
Urinary frequency and urgency
Urinary retention (in severe strictures)
Urinary tract infections (UTIs)
Weak or interrupted urine stream

Causes (of Urethral Stricture)

Sexually transmitted infections (STIs), especially gonorrhea
Previous failed urethrotomy/dilation
Trauma or injury to the urethra or pelvis
Long-term catheterization
Repeated urethral instrumentation (e.g., endoscopy, catheter use)
Lichen sclerosus (chronic skin condition affecting urethra)

Types of Urethroplasty

Excision and Primary Anastomosis (EPA)
Substitution Urethroplasty
Substitution Urethroplasty

Urethroplasty Diagnosis (Before Surgery)

Urine flow test (Uroflowmetry)
Retrograde Urethrogram (RUG)
Voiding Cystourethrogram (VCUG)
Cystoscopy
Ultrasound urethrography

Urethroplasty Treatment (Surgical Approach)

01
Excision and Primary Anastomosis (EPA)

• Recommended for short urethral strictures (usually ≤2cm).

• The surgeon removes the scarred portion of the urethra and reconnects the healthy ends.

• Provides excellent long-term success with minimal recurrence.

02
Buccal Mucosal Graft Urethroplasty

• Used for long or complex strictures.

• A graft is taken from the inner cheek (buccal mucosa) and sutured to the narrowed urethral segment.

• Expands the urethra and restores normal function without tension on the tissue.

03
Penile Skin Flap Urethroplasty

• Performed when buccal grafts are not suitable or when large reconstruction is needed.

• A flap of skin from the penis is used to repair or widen the urethra.

• Useful in cases of extensive scarring or previous failed surgeries.

04
Two-Stage Urethroplasty

• Done for severe strictures, traumatic injuries, or cases with significant infection or tissue loss.

• Stage 1: Diseased tissue is removed and urethra is opened.

• Stage 2 (after healing): Urethra is tubularized and reconstructed.

• Ensures optimal healing and reduced recurrence in complex cases.

05
End-to-End Reconstruction with Spongioplasty

• Strengthens the urethral repair using surrounding tissue (spongiosum).

• Improves blood supply and healing, especially in bulbar strictures.

06
Post-Surgery Catheterization & Support

• A catheter is placed for 2–3 weeks to support healing.

• Patients are monitored for urine flow, infection, and recurrence.

Why You Should Not Delay

Delaying urethroplasty may worsen urinary symptoms, cause repeated infections, lead to bladder or kidney damage, and affect overall quality of life. Early surgery ensures long-lasting relief and prevents complications.

Why Us?

With Healic you get Trustworthy Care, Affordable Prices and Parivaar Jaisi Dekhbhal.

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6 Hospitals; 4 Under Construction

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Expert Doctors & Surgeons

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Expert Care Team

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Frequently Asked Questions

What is urethroplasty and does Healic perform this surgery?

Urethroplasty is a reconstructive surgery to permanently treat a narrowed urethra (urethral stricture). Yes, Healic offers advanced urethroplasty performed by experienced urologists.

When is urethroplasty recommended at Healic?

Healic advises urethroplasty if you have a weak urine stream, difficulty urinating, frequent UTIs, pain, or urinary retention due to a stricture that has not improved with dilation or endoscopic treatment.

How is urethroplasty performed at Healic?

Depending on the stricture, Healic surgeons may remove the scarred segment and reconnect the urethra (EPA) or reconstruct it using grafts like buccal mucosa. A catheter is placed for healing.

What is the recovery time after urethroplasty?

Hospital stay is usually 3–5 days. The catheter remains for 2–3 weeks, and most patients return to light work in 3–4 weeks. Full healing takes a few months with Healic’s follow-up care.

Are there risks and how does Healic ensure successful outcomes?

Risks include bleeding, infection, temporary erectile dysfunction, or rare recurrence of stricture. Healic’s skilled surgeons and thorough postoperative monitoring help ensure long-term success.

Still unsure about treatment?

Don’t worry, our expert team will guide you through diagnosis, treatment options, and recovery. Share your question and we’ll respond quickly.

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