Urethrotomy (Urethrotomy)

Urethrotomy: description, purpose and application

Urethrotomy is a surgical procedure that is performed to treat urethral stricture. A urethral stricture is a narrowing of the urinary tube that can lead to difficulty urinating and other urinary problems. Urethrotomy is performed using a urethrotome, an instrument that is a type of endoscope.

A urethrotome is a hollow tube into which a sharp knife is inserted. The surgeon manipulates the knife, observing the narrowing of the urethra through a special telescope equipped with a lighting device. The operation is performed under local anesthesia or general anesthesia.

Purpose of urethrotomy

Urethrotomy is used to treat urethral stricture. Stricture can occur due to various reasons, such as trauma, infection, inflammation or stretching of the urethra. A stricture can lead to difficulty urinating, as well as other problems such as pain when urinating, blood in the urine, and frequent urination.

Use of urethrotomy

Urethrotomy can be performed either as an open operation or endoscopically. Open surgery is performed by cutting the skin and tissue around the bladder and then excising the urethral stricture. Endoscopic urethrotomy is a less invasive procedure and is performed using a urethrotome.

During endoscopic urethrotomy, the urethrotome is inserted into the urinary tube through the urethra. The surgeon then uses a sharp urethrotome knife to cut the narrowed area of ​​the urethra. In some cases, a catheter may need to be inserted to allow urine to flow freely.

After the procedure, the patient may experience some pain, discomfort and difficulty urinating. In most cases, patients can return to their daily activities within a few days after the procedure.

In conclusion, urethrotomy is an effective treatment for urethral stricture that can help patients improve their quality of life and relieve urinary problems. It is important to contact a qualified surgeon to perform the procedure and receive recommendations for further treatment and rehabilitation.

Urethrotomy is a surgical operation to restore the patency of the urethra - the urethra that opens into the bladder and serves to remove urine. This is one of the most common minor operations performed in the urology department of a hospital. Most often, the operation is performed during a routine examination, performed if inflammatory diseases of the urinary system are suspected, but it can also be performed as an emergency intervention.

The causes of postoperative urethral stricture (narrowing of the urethra) are of two types.

Firstly, these are relatively rare specific causes of narrowing, such as trauma, neoplasms of canal tissue, trauma to the distal urethra with movement of the external or internal opening of the urethra, and the consequences of traumatic injuries. Secondly, the causes of urethral strictures are more typical in their manifestation and are constantly found in urological departments. Stress urinary incontinence does not allow reattachment or stabilization of the urethral wall to the sacrum without stricture, so these cases remain the most severe. However, despite this, urethrotomy is rarely caused by sensory disturbances and neurological disorders.

Surgical treatment of stricture involves restoring the normal anatomical structure of the urethra and preventing re-narrowing of the ureter. Patients who are limited in daily activities need to be examined annually for early detection of restriction and timely treatment and prevention of relapse of urolithiasis. A pathological structure or narrowing in any part of the urinary tract occurs due to various reasons, such as repeated injury to the bladder, hematoma, stone, stricture of the anus of the scrotum, tissue trauma, urethral scar after stoma placement, tissue degradation.

**Urethrotomy** (Latin urethra “urethra” + Greek tome “transverse cut” ← tomé “cut”) is a surgical operation to excise scar tissue in men, characterized by the presence of a tumor, cyst formation and a combination of inflammation and scar deformities of the wall urethra (urethra).

Urethrotomy surgery allows you to restore the normal anatomy of the urethra and pelvis of the bladder.