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Urethral stricture surgery is one of the services provided by Iran Medtour, which is supplied by the best kidney and urinary tract specialists, along with accommodation, a translator, a companion nurse, and a city tour at an affordable price in Tehran.
Inflammation of scar tissue in the urethra tract is the main cause of urethral stricture in men, which slows down the exit of urine from the bladder or completely stops it. Also, urethral stricture can be caused by a urinary infection.
Stricture or narrowing of the urethra tract occurs for various reasons, including the following.
Poor urine flow or decreased urine volume is the main symptom of urethral stricture. Also, the following symptoms are other symptoms of urethral stricture.
Urethral strictures are divided into the following types:
The most common type of urethral stricture can be considered as anterior urethral stricture. This type of urethral stricture is usually caused by injuries to the genital area, due to various reasons, including sitting on a bicycle and placing the bicycle tube between the legs.
Posterior urethral stricture occurs due to scratch tissue or wound or narrowing of the urethra at a distance of 2 to 5 cm from the bladder, or due to severe injuries, such as hip fracture or radiation therapy.
To diagnose urethral stricture in men, methods, such as a color photo of the urethra are used to determine the severity of the length and location of the stricture. In this method, a substance, seen by X-ray is injected into the urethra through the tip of the men’s penis, using a catheter.
Using the cystoscopy method, in which a narrow tube is inserted into the bladder is another method of diagnosing urethral stricture. Also, a urine flow test which measures the volume and the intensity of urine flow is another method.
Examining the urine to observe blood infection or cancer in the urine, and imaging the urethra with the help of ultrasound, as well as the use of the ureteroscopy method, in which a small device is inserted at the site of the urethral stricture are other methods of diagnosing the urethral stricture.
The type of method to treat this condition depends on the severity and symptoms of tract narrowing, which will be discussed below:
One of the common treatments to solve this problem is that a specialist doctor opens the narrowed part of the tract with a device called a catheter and widens the tract with a device called a dilator, which aims to improve the flow of urine and decrease the symptoms caused by ductal stenosis. It is important to know that the dilatation method is used to treat narrow tracts with a length shorter than one centimeter and cannot be used for strictures with a longer length.
In this method, according to the location and extent of the narrowing of the tract, the specialist doctor treats the narrowing of the tract with the open method of minimally invasive techniques, such as applying robotic surgery or endoscopy. In general, this method is safe and efficient, but after the performance, some complications, such as bleeding and infection may happen to the person.
in this method, the specialist creates an incision in the narrow part of the tract, to be able to open the tract and improve the urine flow. This method is performed in several ways, such as ureterostomy or direct observation inside the tract and intra-optical ureterostomy. Urethrotomy surgery is performed to treat urethral stricture. The surgeon makes an incision in the narrow part of the tract to open the duct and improve the urine flow.
As with any surgical procedure, there are potential risks, including:
This information is for informational purposes only and does not constitute medical advice. Consult with us or a qualified healthcare professional for diagnosis and treatment of any medical condition.
If you would like the best surgeons in Iran’s first-class hospitals to perform your surgery, and at the same time be comfortable and stress-free during your treatment and stay in Iran at a reasonable cost, like your home, get in touch with iranMedtour consultants.
A urethral stricture can develop gradually over time, or it can occur more quickly after an injury or infection. Sometimes, the narrowing may be present for a while before symptoms become noticeable.
Urethral strictures generally do not heal on their own. They usually require some form of treatment to alleviate symptoms and prevent further narrowing.
While lifestyle changes cannot cure a stricture, some measures might help manage symptoms or reduce the risk of complications:
Untreated urethral strictures can lead to serious complications, including:
The success rate of treatment depends on the type and severity of the stricture, as well as the chosen treatment method. Urethroplasty generally has the highest long-term success rates, but all procedures carry some risk of recurrence.
Regular follow-up with a urologist is essential after urethral stricture treatment to monitor for recurrence and ensure proper healing. Some men may require additional procedures over time.
Yes, urethral strictures can affect sexual function in several ways. Pain during urination or intercourse, as well as erectile dysfunction, can occur. The psychological impact of the condition can also contribute to sexual difficulties.
Some preventative measures include:
Urethral strictures generally do not affect fertility directly. However, they can cause discomfort during intercourse, which might impact family planning. If surgery is required, it’s essential to discuss any concerns about future fertility with your doctor.