Category Archives: Urology

URETHRAL STRICTURE TREATMENT BY BEST UROLOGIST

URETHRAL STRICTURE TREATMENT BY BEST UROLOGIST

What is Urethral Stricture

Urethral Stricture Treatment is required for a condition marked by narrowing of Urethra is impacting the flow of urine out of the bladder. It is considered rare in females.

 

How to diagnose urethral stricture

Investigations to be done in patient with stricture:

  • Retrograde urethrogram with Micturating Cystourethrogram (RGU+MCU) to define the length and site of the stricture. This is the most important diagnostic tool in case of stricture urethra.
  • Urine examination to rule out infection
  • Ultrasound
  • Uroflowmetry to check for urine flow
  • Cystourethroscopy
  • MRI pelvis and Perineal region.
Urethral Stricture Treatment
Urethral Stricture Treatment

 

SYMPTOMS OF URETHRAL STRICTURE

  • Poor urinary system.
  • Passing urine with very thin stream or passing urine in drops.
  • Need more than usual time to pass urine.
  • Sudden urge to pass urine.
  • Have to go frequently to pass urine.
  • Sense of incomplete emptying of bladder.
  • Recurrent urinary infection.
  • Retention or inability to pass urine.
  • Pus discharge from urethral meatus.
  • Abscess (urethra-cutaneous Fistula).
  • Swelling and infection in prostate (Prostatitis) or in testes (epididymorchitis)
  • Rarely flank pain while urinating.

How does urethral stricture occur

 

Main causing factors of stricture urethra are:

  • Infection
  • Catheter induced inflammation
  • Straddle injury to urethra
  • Pelvic bone fracture posterior urethral disruption defects(PFUDD)
  • Any previous endoscopic surgery done through urethra
  • Previously operated Hypospadias

 

Can we prevent urethral stricture

 

Yes, it can be prevented by treating urethritis, by treating sexually transmitted diseases, by using good quality catheter.

 

Doctor for urethral stricture treatment

 

Urethral stricture treatment is managed by a reconstructive Urologist who is trained and specialized in urethra and external genitalia.

 

Options for Urethral Stricture Treatment

 

Urethral Stricture Treatment depends on certain factors like site and the length of the stricture and age of the patient. This condition is not curable with medicinal/conservative treatment only. Surgical options available for treating urethral stricture are :

  • Open urethral reconstruction
  • Urethroplasty
  • Urethral Dilation
  • Urethrostomy
  • Urethral stent placement

 

Prevention of Urethral Stricture

It is crucial to see a urologist if you are experiencing symptoms of stricture urethra. Treating the condition right away is the best way to prevent/avoid complications. First surgery has the highest success rate.

Recurrence of Urethral Stricture

Surgery if done by trained reconstructive urologist has success rate in the range of 90-95%. Success rate decreases with repeated  surgeries(75-80%). Success rate is also on lower side if surgery is done by routine urologist.

Infections by Urethral Stricture Treatment

Yes it can cause infection to others who get in contact sexually with the patient.

 

To know more please contact :

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com

 

BEST HYPOSPADIAS TREATMENT, MINIMUM COST

BEST HYPOSPADIAS TREATMENT, MINIMUM COST

BEST HYPOSPADIAS TREATMENT

WHAT IS HYPOSPADIAS

Hypospadias Treatment is almost risk free. Hypospadias is a congenital deformity of the penis and external genitals in which urinary opening is located proximal to its normal location along with curvature of the penis and abnormal distribution of penis skin. It is sometimes associated with undescended testis on one or both sides. It is one of the commonest malformations of male children, affecting approximately 1 of every 250 approximately. Undescended testes or inguinal hernia or upper urinary tract anomalies may be associated with hypospadias.

Hypospadias Treatment
Hypospadias Treatment in Delhi

CAUSES OF HYPOSPADIAS

The environment and hormones may be the factors that may influence the development of this defect.

Hypospadias is a congenital condition, it happens while the baby is developing in the mother’s womb. As the fetus develops, the tissue on the underside of the penis that forms the urethra doesn’t completely close, shortening the passageway. In many cases, the foreskin—the fold of skin covering the penis tip, or glans—also doesn’t develop properly, resulting in extra foreskin on the top side of the penis and none on the underside.

WHAT IS HYPOSPADIAS REPAIR

Hypospadias repair is the Hypospadias Treatment of this congenital deformity and it consists of various components, each dealing with correction of one particular deformity.

  1. Chordee correction
  2. Glanuloplasty
  3. Urethroplasty

 

WHAT IS HYPOSPADIAS

Hypospadias is a congenital disorder, so its present in new born.

Hypospadias Chordee
Hypospadias Chordee Treatment

 

SYMPTOMS OF HYPOSPADIAS

Usually, boys with this condition have the opening of the urethra near the tip of the penis on the underside.

Hypospadias is noticed at birth/ during routine Paediatric check- up.

Along with the misplaced opening, the foreskin is often incomplete and forms a hood.

Urine stream may be hard to direct and control.

The penis may curve as it grows, causing sexual dysfunction later in life.

If the urethral opening is near or behind the scrotum, a person may have fertility problems later in life.

 HYPOSPADIAS SURGERY NECESSITY

A Hyospadias Surgery is needed for anatomical, cosmetic and functional aspect of the penis. If surgery is not done, then patient can have

  1. Difficulty in passing urine with urine streams going downwards
  2. Difficulty in insemination during intercourse
  3. Curvature of the penis with erection leading to difficulty with intercourse.
  4. The Patient can go into depression because of abnormal appearance of the penis.

 

BEST TIME FOR HYPOSPADIAS SURGERY

Best time for surgery is between 1 ½ years -4 years.

HOW CAN I IDENTIFY THE SEVERITY OF HYPOSPADIAS?

Severity of hypospadias is very much visible on clinical examination and also at the time of erection.

TECHNIQUES FOR HYPOSPADIAS TREATMENT

There are more than 300 types of hypospadias repair and each surgeon has his own personal/ preferred techniques. Two different procedures can be combined to get the best results. The aim of the surgery is to give a cosmetic and functional penis. In some complex Hypospadias Treatment cases, surgery can be done in two stages.

DOCTOR FOR HYPOSPADIAS TREATMENT

A reconstructive urologist who is trained in hypospadias repair and doing a high volume of hypospadias surgeries (8-10 /month) is the right person to approach for such specialized work.

HYPOSPADIAS TREATMENT PROCEDURE

Duration of procedure varies with the technique and complexity. Duration can vary from 2 hours to 5 hours. In few cases need multiple stages 6-8 months apart.

DURATION OF STAY IN HOSPITAL AFTER HYPOSPADIAS SURGERY

The Patient has to stay 2-3 days in hospital. A urinary drainage catheter is kept for 10-14 days.

CURE AFTER HYPOSPADIAS TREATMENT

Yes, if a proper surgery is done. The Success rate for Hypospadias Treatment is around 85-90% and the patient can pass urine in standing position.  

EFECT OF HYPOSPADIAS SURGERY

A successful surgery never interferes with sexual life and infertility in the future.

COMPLICATION IN HYPOSPADIAS TREATMENT

After Hypospadias Surgery Complications are more likely can include

  • Bleeding
  • Swelling
  • Infection

In long term

  • Failure of repair
  • Urinary fistula formation
  • Residual penile curvature
  • Disfigured penis

2nd surgery is decided during post-operative follow up.

FOLLOW UP AFTER HYPOSPADIAS TREATMENT

Initial follow up at 15 days and one month, after that yearly follow up is  required in Hypospadias Treatment.

 

 

For further details on Hypospadias. You may reach out to

Dr. Gautam Banga

MBBS,MS,M.Ch (Urology)
Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon
Contact no. : 91- 9886624303 | +91-9999062316
Email:- info@urethraandpenilesurgery.com
Website : www.urethraandpenilesurgery.com