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Urethral Stricture Treatment Without Surgery

How Is It Diagnosed

5 Best Homeopathic Medicine For Urethral Stricture – Treatment Without Surgery

Your doctor will ask about your symptoms and your medical history and conduct a physical exam. To ascertain the cause, site and length of the urethral stricture, your doctor may recommend a number …

Your doctor will ask about your symptoms and your medical history and conduct a physical exam. To ascertain the cause, site and length of the urethral stricture, your doctor may recommend a number of tests.

Effective Medications For Urethral Stricture

The use of medication in urethral stricture is not as widespread as it is for some other conditions related to the urinary tract.

While many conditions that are centered around the prostate or bladder require medication for recovery, the case is a bit different with a urethral stricture. If youve experienced urethral stricture symptoms, youve probably already begun researching your options online for treating it using phrases like urologist near me or treatment for urethral stricture near me. If so, call Advanced Urology today at 678-344-8900 to learn more about Atlanta treatment options and make an appointment.

Doctors do prescribe a lot of painkillers and antibiotics to people suffering from urethral strictures. Patients suffering from a urethral stricture may experience pain. Painkillers or local anesthesia may be useful.

Moreover, antibiotics are also given as part of the medication regimen to help make sure that there are no infections of the urethral region as the urethra is prone to infections. An antibiotic will not only keep away future infections but will also limit the impact of any current infection.

Supplements and natural products may provide some relief from urethral stricture symptoms. Here are a few natural supplements that can assist not only with urethral stricture but a lot of problems related to your urinary health and urinary tract. These supplements include:

Cranberry

Pygeum

Clematis

Treatment Options Including Dilation Direct Vision Internal Urethrotomy And Urethroplasty

Urethral X-ray imaging will reveal either a short or long stricture of the urethra, excluding men who have a severed urethra from a pelvic fracture, which requires a different evaluation. The best choice for treatment will depend on the length of the stricture, as well as if there was any prior treatment. For short strictures with no prior treatment most Urologists may choose to perform a procedure called a direct vision internal urethrotomy or DVIU. A DVIU is a procedure in which the Urologist dilates or cuts open the narrow urethra internally, providing some temporary relief of symptoms but does not offer a long lasting cure, making it an ineffective treatment option. To learn more, read the section on urethral dilation and urethrotomy, which will discuss these options. However, the most successful option is a urethroplasty. A urethroplasty is an open repair of the urethra, and detailed information about urethroplasty can be found in the urethroplasty section

Refer to the above simplified decision tree algorithm to learn about additional treatment options. An additional treatment for short strictures is an anastomotic urethroplasty, and for other potential issues, a substitution urethroplasty may be best.

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Urethral Stricture Treatments And Surgery

Once a stricture develops inside your urethral passage, it doesnt tend to go away easily. Urethral stricture medications are not recommended as a primary form of treatment because they merely manage symptoms related to pain and inflammation but do not correct the cause of the stricture.

For this reason, surgical procedures are the most effective form of treatment for urethral stricture.

The Most Effective Surgical Treatments For Urethral Stricture In Atlanta

Can A Uti Cure Itself

These are several surgical options that can alleviate your painful symptoms and get you on the road to recovery:

Urethral Dilation

Urethral dilation is a surgical technique which can be done under general or local anesthesia. As the name sounds, the procedure manually widens the scar within the urethra. Thin rods with increasing diameters are carefully inserted into the urethral opening. You may need repeat treatment from time to time to ensure the strictures dont come back again. Urethral dilation, however, does pose a risk of making the stricture worse over time.

Direct Vision Internal Urethrotomy

DVIU, or Direct Vision Internal Urethrotomy, is an endoscopic procedure. An endoscope, which is a thin tube with a camera attached is inserted inside the urethra to get an image of the stricture. Once the stricture has been visualized, a tiny knife is passed through the endoscope to open up the stricture and to cut it lengthwise. A catheter is then inserted into the urethra and remains there for a week to promote healing. While effective, there are potential complications related to DVIU including UTI and bleeding.

Suprapubic Catheter Placement

At times the urethral stricture is dense enough where such options above are not possible. In these situations, a catheter placed directly into the bladder through the lower abdomen may be necessary to drain the bladder.

Urethroplasty

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Why Choose A Uro Center Urologist In New York

The urologists at the Uro Center in New York are experts in their field, bringing academic and research based innovation to the clinical forefront. Our urology team specializes in areas of treatment such as: robotic surgery, reconstructive urology, mens health & infertility, kidney stones, urologic oncology, penile implant surgery, urethral stricture, BPH, Urinary incontinence treatment, Mesh complications, Enlarged prostate treatment, Urodynamics, vesicovaginal fistula and female incontinence in New York.

Risk Factors For Formation Of Urethral Stenosis And Stricture

Post-radical prostatectomy

Radiotherapy

Risk factors include age, obesity, hypertension, diabetes, previous TURP , longer follow-up, higher radiation dose, HDR-BT, adjuvant RT and combination with BT . Delaying adjuvant RT for more than 9 months after RP may decrease stricture formation, however this is at the expense of an increase in cancer-specific mortality . Zelefsky found that intensity modulated RT increases the risk of late urinary toxicities including urethral stricture compared to 3-D conformal RT, but with lower rectal toxicity . However, a recent review found no difference in urethral stricture between 3-dimensional conformal radiotherapy and IMRT . Similar to ERBT, BT strictures affect the bulbomembranous urethra in the majority of cases, which could be due to a âhot spotâ in the distal bulbar urethra or due to caudal needle shifting in patients receiving HDR-BT , although Hindson found no relation between needle shifting and stricture incidence . A prospective, matched-pair analysis by Diez found no association between urethral stricture incidence and urethral dosimetry in patients receiving HDR-RT, however the number of events was too small to draw a definitive conclusion .

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Urethral Stricture: Diagnosis And Testing

To be diagnosed with a urethral stricture, visit your urologist and tell them about any previous injuries or medical conditions. There are physical examinations and lab tests used to determine the severity of your condition.

Once your doctor evaluates the seriousness of your condition, youll have a better idea of what the next steps in treating your urethral stricture will involve.

How Is It Treated

Cystoscopy & Urethrotomy Operation | Optical Internal Urethrotomy OIU/VIU Stricture Urethra Surgery

Surgery is the recommended treatment for individuals with urethral strictures. The surgical treatment recommended may vary with the severity of the stricture as well as the assessments of the risks and benefits of the procedure. The common surgic..

Surgery is the recommended treatment for individuals with urethral strictures. The surgical treatment recommended may vary with the severity of the stricture as well as the assessments of the risks and benefits of the procedure. The common surgical procedures include:

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Who Is Not Eligible For The Treatment

People who do not have severe urethral strictures are generally not eligible for treatment. A person not experiencing any of the symptoms associated with urethral stricture is not eligible for treatment. Some of the tests that may help a doctor to understand whether a person has urethral stricture or not are measuring of rate of flow of urine, cystoscopy, measuring the size of the urethral opening, analyzing the physical and chemical properties of urine to find out if there is bacteria and tests for Chlamydia and gonorrhea. A person will not be eligible for treatment if the doctor does not diagnose him after performing these tests.

Treatment For Urethral Stricture Out

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Oral Complications After Buccal Mucosal Harvesting

Buccal mucosal harvesting is an important tool in the urologists armamentarium in treating urethral stricture disease. The harvesting procedure is considered well-tolerated for example, Dublin and Stewart reported that 80% of patients who underwent urethroplasty with a buccal mucosal graft reported that they would undergo the same procedure again.

Nevertheless, buccal mucosal harvesting does carry a risk of long-term complications. Oral pain over the harvest site resolves within the first month postoperatively. Persistent numbness, tightness, or coarseness over the harvest site has been reported in patients as late as 2 years postoperatively. Most experts agree that the potential for long-term complications such as persistent neurosensory deficits and tightness, albeit rare, should be discussed with the patient preoperatively.

Urethral Stricture After Prostate Surgery Or Radiation

A Modified Endoscopic Primary Realignment of Severe Bulbar Urethral ...

Urethral stricture disease can occur as a complication of radical prostatectomy or as a side effect of radiation for prostate cancer. A blockage can develop where the bladder is connected to the prostate called a bladder neck contracture . This area called the bladder neck can also become narrow from radiation related damage. Like a urethral stricture, a bladder neck contracture is a constriction or narrowing of that area, but since it is at the level of the bladder where the bladder meets the urethra, it is technically not called a urethral stricture. Furthermore, the treatment of a bladder neck contracture and a urethral stricture are different, and bladder neck contractures are discussed here.

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Non Surgical Treatment Of Urethral Stricture

Urethral stricture is the narrowing of the tube through which the urine flows out. It is a medical condition that restricts urine to flow freely. Your urine passed through the urethra tube to expel out of your body. When you find difficulty in the urine flow, high chances of urethra stricture may be the reason.

In urethral stricture, the urethra tube narrows and creates a block for urine flow.

Symptoms

Following are the symptoms of Urethral Stricture:

  • Urine does not pass clearly. Some part of urine remains in the bladder.
  • Increased frequency of urination.
  • Pain sensation while the urine passes.
  • Infection in the urinary tract.

Non surgical Treatment of Urethral stricture is the Best Here is, why.

No one wants to opt for surgery to cure a disease. Surgery carries many serious after-effects like pain, infection, etc. Also, surgery does not result in a permanent cure for a particular disease.

Similarly, in the case of Urethral stricture, surgery may also result in its recurrence. In such a situation, Uttarbasti, ayurvedic treatment can provide you a fruitful result.

Uttarbasti

Most people in India are well aware of Panchkarma that helps to cleanse the whole body. But many people do not know about Uttar Basti, a procedure to clean the uterus thoroughly. It is an ayurvedic treatment of Urethral Stricture. It is very safe and painless because it is a Non surgical treatment of Urethral stricture.

Urethral Stricture As A Side Effect Of Radiation For Prostate Cancer

After radiation therapy to treat prostate cancer with external beam radiation including proton beam therapy and/or radioactive seed implants, the most common location of a urethral stricture is the membranous urethra. This is the part of the urethra just under the prostate and the urethra in this area is surrounded by a muscle called the external urethral sphincter, which is one of the sources of continence. An illustration of the urethra showing the location of this part of the urethra is found here.

When patients are referred to the Center for Reconstructive Urology with blockage of urine flow after treatment for prostate cancer, they often are not clearly aware of their specific diagnosis with regard to the urethral stricture location and stricture length, even if they underwent prior treatment . If they only had a cystoscopy it is not possible to know the length of the stricture. If imaging was performed and that imaging did not include both a film during injection of contrast and during voiding , there cant be a definitive diagnosis.

We evaluate the urethra using both cystoscopy and high definition accurate urethral imaging to first determine the exact stricture length and location. This comes before a discussion of all options .

With the gentle injection of X-ray contrast to fill the bladder , we can then obtain a film during urination called a voiding cystourethrogram

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Ways To Treat Urethral Stricture At Home

Urethral stricture is a common condition among men but is rare in women. The cause of restricted urine flow is the narrowing of the urethra which can result in pain and discomfort plus difficulty in urinating.

There are various treatment options available to get rid of urethral stricture. The common treatments of urethral stricture that allow relief from the problem at home only include home remedies and homeopathy.

The common causes of urethral stricture are:

  • Insertion of the catheter through the urethra
  • Contracting frequent urinary infections

Using the home and homeopathic medicines may help with the recurring urge to urinate, pain, and urinary incontinence.

How Long Does It Take To Recover

BAUS presents the Optilume®, the game changer technology for the treatment of urethral stricture

The time required for a person to recover from a surgery for urethral stricture depends on a number of factors like which procedure has been performed, how long the catheter has been kept in place, the overall health status of the patient and even on the preference of the physician. Procedures like urethroplasty require a longer recovery period while other procedures like internal urethroplasty and dilation are generally outpatient procedures.

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Urethral Stenosis Is A Stricture Which Occurs When A Part Of The Urethra Become Narrowed Any Section Of The Urethra May Be Affected There Is Usually Some Scar Tissue Around The Affected Part Of The Urethra That Causes The Narrowing The Length Of Strictures Vary From Less Than 1cm To 4cm Or Longer

Causes of urethral stenosis

  • Injury or damage to the urethra: Includes surgical interventions. Healing can result in scar tissue causing a stricture.
  • Infection of the urethra: Sexually transmitted infections or infection as a complication of long-term use of a catheter to drain the bladder. Infection may cause inflammation in the tissues in and around the urethra. These infections usually clear with treatment but may leave some scar tissue at the site of the inflammation which can cause a stricture.
  • Rare causes: Congenital or cancer spreading from bladder or prostate

Symptoms

  • Dribbling of urine for a while after urination.
  • Mild pain on micturition.

Surgical Intervention for Urethral Stenosis

Dilatation of the stricture: A rod is passed into the urethra. Rods of increasing thickness are gently inserted to gradually widen the narrowed stricture. The aim is to stretch the stricture without causing additional scarring. However, a stricture often tends to gradually narrow again after each dilation. Therefore, a repeat dilation is commonly needed every so often when symptoms recur.

Urethrotomy: An endoscope is passed into the urethra to view the stricture. A knife, passed down the scope, cuts the stricture widening the channel. However, like dilation, the stricture may reform and the procedure may have to be repeated. A longer stricture has an increased risk of requiring repeat urethrotomies

Urethroplasty

There are 2 general types of urethroplasty proceudres:

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What Causes Urethral Stricture

The most common causes appear to be chronic inflammation or injury. Scar tissue can gradually form from:

The scar tissue causes the urethra to become narrow, making it more difficult for urine to flow. Sometimes, the inflammation or injury to the urethra happens long before the stricture becomes noticeable. In other cases, the stricture happens soon after a urethral injury.

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What Are The Post

A person who has undergone surgery to treat urethral stricture will require a few weeks time before he can resume his normal physical activities. It is always useful to follow the doctors advice. After a surgery, a catheter is left for about a week. In some other cases, a suprapubic tube is also left in addition to the catheter.

Are There Any Side Effects

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Urethral dilation can make the stricture worse over a certain period of time. The side-effects of direct vision internal urethrotomy are pain, bleeding, erectile dysfunction, urinary tract infection and even recurrent stricture. The risks associated with open urethroplasty are infection, bleeding, recurrent stricture, pain and fistula and dribbling after urination. Urinary diversion surgery has its fair share of complications as well.

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Exercises And Yoga For Urethral Stricture

Kegel exercises effectively help in strengthening the muscles of the pelvic floor that allows the flow of urine. So, you must learn some kegel exercises that will also help you in getting rid of infections of the urinary tract as well. And, make sure that you perform kegel exercises only after emptying the bladder completely. Otherwise, it can yield rather uncomfortable or undesired results on your condition of urethral stricture.

Yoga can surely work as a natural remedy to cure urethral stricture. Regular yoga can have wonderful effects on improving urethral stricture. The following poses will help you in keeping the overall digestive and the urinary tract healthy. So, you should practice the following yoga poses every day to witness the relief in your condition.

  • Ardha Kurmasana

  • Baddha Konasana

These are the best yoga poses that can naturally cure urethral stricture and urinary incontinence as well. Yoga is the best way to strengthen the muscles of the urinary tract system and remove any toxins present there.

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