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Surgical Management of Urethral Stricture: Techniques and Considerations
27th June 2023
Urethral stricture can be a frustrating condition that affects people of all ages. If this condition is left untreated, it can lead to serious complications such as urinary tract infections, kidney damage, or even bladder stones. Fortunately, there are several different techniques available for treating this condition. In this comprehensive guide, we'll explore the various options for urethral stricture treatment and help you determine which one is right for you. From self-catheterization to surgical procedures, we've got you covered with everything you need to know about managing this uncomfortable urological issue. So let's dive in and discover how to keep your urinary system healthy and functioning properly!
Urethral stricture is a condition in which the urethra, the tube that carries urine from the bladder out of the body, becomes narrowed. This can happen due to
• injury
• surgery
• scarring
• congenital abnormalities
• frequent urinary tract infections
• injury to the urethra during childbirth
• enlarged prostate
• cancer of the urethra or bladder
Urethral stricture can cause multiple urinary problems such as:
• difficulty in urinating (pain or straining)
• decreased urine stream
• incomplete emptying of bladder
• increased frequency of urination
• leakage of urine around the blockage.
There are a number of diagnostic tests that can be used to determine if you have a urethral stricture. The most common test is a cystoscopy, which is an examination of the inside of the bladder and urethra using a small camera.
A cystoscopy is usually the first test performed to diagnose a urethral stricture. During this procedure, a small camera is inserted into the urethra and used to examine the inside of the bladder and urethra. This test can help to identify the location and severity of the stricture.
There are several ways to treat urethral stricture, but epithelial cell therapy is becoming an increasingly popular option. This therapy involves using healthy cells from the patient's body to repair and regenerate the damaged tissue in the urethra. This is done using buccal mucosa epithelial cells which are implanted at the stricture area with the help of biological scaffold through special instrument at stricture area.
Restoration of Tissue Structure: Epithelial cell therapy aims to regenerate and restore the natural tissue structure of the urethra.
Minimally Invasive Approach: Epithelial cell therapy can often be performed using minimally invasive techniques. This means smaller incisions or no incisions at all, leading to reduced post-operative pain, faster recovery, and fewer complications compared to more invasive surgeries.
Reduced Risk of Recurrence: Urethral strictures have a high rate of recurrence. Epithelial cell therapy has the potential to reduce the risk of recurrence by promoting the growth of healthy epithelial cells and preventing the formation of scar tissue.
Improved Functionality: By regenerating healthy tissue, epithelial cell therapy can improve the functional aspects of the urethra. This includes restoring normal urine flow, reducing urinary symptoms, and potentially preventing complications such as urinary tract infections or urinary retention.
Individualized Treatment: Epithelial cell therapy can be tailored to the individual patient's needs. The cells used for therapy can be derived from the patient's own body (autologous cells like live cultured buccal epithelial cells) This personalized approach reduces the risk of immune rejection and allows for better compatibility and integration of the regenerated tissue.
Potential for Long-Term Results: The regenerative nature of epithelial cell therapy holds promise for long-term results. By promoting the growth of healthy tissue, the treatment aims to address the underlying cause of the stricture, potentially offering a more permanent solution compared to traditional treatments that primarily focus on symptom relief.
There are several different Surgical Treatment of urethral stricture, and the most appropriate technique will depend on the individual case. Some of the most common surgical techniques include urethroplasty, dilation, and stent placement.
Preoperative care considerations:
• Patients should be counselled on the risks and benefits of the various treatment options for urethral stricture.
• The planned procedure should be explained in detail, including the expected length of hospital stay and anticipated recovery time.
• Patients should be advised to empty their bladder completely before surgery.
• After surgery, patients will likely need to stay in the hospital for a few days to recover. During this time, they will need to take it easy and avoid strenuous activity. They should also drink plenty of fluids to help flush out their system.
• Once they are home, patients should follow their surgeon's instructions for wound care and avoid sexual activity for at least six weeks.
Few complications that may occur after surgery to treat urethral stricture. These include infection at the surgical site, bleeding and scarring.
If you have health insurance, your insurance company will likely cover at least some of the costs of treating urethral stricture. However, it is important to check with your insurance provider ahead of time to see what coverage they provide for this condition. Even if your insurance does cover some of the costs, you may still be responsible for some out-of-pocket expenses, such as deductibles, copayments, and coinsurance.
Some of the different techniques for treating urethral stricture can be quite costly. For example, surgery to correct the problem can cost several thousand bucks. If you need to have a urinary diversion procedure, the costs can be even higher. In addition, there are often costs associated with follow-up care after any type of treatment for urethral stricture. These can include things like office visits and tests.
If you are concerned about how you will pay for treatment for urethral stricture, there are a few options available to help ease the financial burden. Many hospitals offer financial assistance programs to help patients who cannot afford their medical care. There are also a number of charities and patient assistance programs that can help with paying for treatment. Some pharmaceutical companies offer assistance programs for people who cannot afford their medication costs.
With the advancement in technology, urethral stricture can be treated with the right type of treatment and techniques available. This guide has provided a comprehensive overview of the different techniques used to treat this condition, as well as helpful tips on how to make sure you're getting the best care possible. With the right information and support from your medical team, it's possible to successfully manage or even cure your urethral stricture.
If you want to collect more details related to Urethral stricture treatment or Epithelial cell therapy, REGROW is here to assist you. Feel free to get in touch with us today. We would love to assist you.