Urethrostomy

Urethrostomy is a surgical procedure that is performed to create a permanent urethral opening in the perineum in men. This operation may be necessary if there is a stricture (narrowing) of the urethra in the penis or in the case of a stricture of the posterior urethra when a urethroplasty method is used.

A urethral stricture is a condition in which the urethra, the tube through which urine exits the bladder, narrows or becomes difficult to pass. Strictures can occur for a variety of reasons, including trauma, infection, congenital abnormalities, or previous surgery. They can cause a variety of symptoms, such as painful urination, difficulty urinating, frequent urination, or even a complete blockage of the urinary tract.

Urethrostomy is performed to ensure normal flow of urine from the bladder and facilitate the passage of urine through the urethra. During the procedure, the surgeon makes a small hole in the perineum, connecting the bladder to the outside environment. This allows urine to pass through the created urethral opening, bypassing the obstruction or stricture in the urethra.

Urethrostomy can be performed in a variety of ways depending on the specific situation and the reason requiring surgery. One common method is a soft urethrostomy, which creates an opening in the front wall of the bladder and in the nearby urethra. Another method, called a rigid urethrostomy, involves removing the affected segment of the urethra and creating an opening between the bladder and the skin.

After urethrostomy, careful postoperative care and monitoring is necessary. Patients may have a catheter inserted through the created urethral opening to facilitate urination and prevent blockage. Recovery from urethrostomy may take some time, and patients are advised to follow individual doctor's recommendations and undergo regular follow-up examinations.

In conclusion, urethrostomy is a surgical procedure that may be necessary to facilitate the passage of urine in urethral strictures. It allows you to create a permanent urethral opening in the perineum, bypassing a narrow or obstructed area of ​​the urethra. Like any surgical procedure, urethrostomy has its own risks and side effects and should only be performed after careful discussion with a medical professional. He will conduct all the necessary studies, evaluate the indications and tell you about the possible complications and benefits of this procedure.

Urethrostomy: Creating a New Path to Easier Urination

Urethrostomy is a surgical procedure performed to create a permanent urethral opening in the perineum in men. This procedure may be necessary if there is a stricture (narrowing) of the urethra in the penis or when treating a stricture of the posterior urethra (during urethroplasty).

A urethral stricture is an abnormal narrowing of the urethra that can cause difficulty urinating or complete cessation of urination. If there is a stricture in the penis or posterior urethra, a urethrostomy may be necessary to facilitate the passage of urine and prevent the negative consequences associated with urine retention in the bladder.

The urethrostomy procedure can be performed in a variety of ways depending on the specific situation and needs of the patient. One common method is to create an artificial urethral opening that connects the urethra to the external environment. This opening is usually located on the anterior wall of the perineum and can be created using surgical instruments and techniques.

Urethrostomy may be performed as a temporary measure to make urination easier while a stricture is being treated, or as a permanent procedure in cases where reconstructive methods are not possible or ineffective. In the case of temporary urethrostomy, after restoration of urethral patency, the artificial opening can be closed or removed.

As with any surgical procedure, urethrostomy is associated with certain risks and possible complications. Possible complications include infection, bleeding, scar tissue formation, and changes in the anatomical structure of the urethra. It is important to discuss the risks and benefits of the procedure with your surgeon before deciding to undergo a urethrostomy.

Urethrostomy is an important tool in urological practice and can significantly improve the quality of life of patients with urethral obstruction. It makes urination easier and reduces the negative consequences associated with such conditions. However, the decision to perform urethrostomy must be made on an individual basis, taking into account the characteristics of each patient and his medical history.

It is important to consult an experienced urologist who can evaluate the condition of the urethra and determine the most appropriate treatment approach. After a urethrostomy, the patient may need regular monitoring and care of the artificial urethral opening to prevent infections and other complications.

In conclusion, urethrostomy is a surgical procedure that may be necessary in the presence of urethral stricture. It provides a permanent urethral opening in the male perineum and facilitates urination. Urethrostomy can be temporary or permanent and is performed using a variety of techniques. It is important to discuss the benefits and risks of the procedure with your urologist to make an informed decision.

Urethroplasty is plastic surgery of the urethra, restoration of its walls (plastic replacement of a soft tissue defect or prosthetics), narrowing of the affected section, as well as surgical simultaneous or gradual expansion of the lumen in case of bladder outlet obstruction caused by narrowing or stricture of the urethra.