Treatment of urethral stricture

Urethral stricture treatment methods include urethral dilatation, urethrotomy, urethral end-to-end anastomosis, urethral replacement, laser therapy, etc. Specific treatment options should be determined according to the patient's stricture, etiology, physical condition and other factors. Urethral stricture is a common disease in the urinary system. It refers to the abnormal narrowing of the mechanical lumen of any part of the urethra, resulting in increased urinary resistance. There are various treatment methods. The specific treatment plan should be determined according to the patient's stricture, etiology, physical condition and other factors. The following are some common treatment methods: 1. Urethral dilation: Applicable conditions: It is mainly used for mild to moderate urethral stricture. Gradually dilate the urethra by urethral probe or urethral dilator to increase the diameter of the urethra. Treatment effect: This method is simple and minimally invasive, but it has limited effect on severe urethral stricture and may require multiple treatments. Risks and complications: It may cause discomfort such as urethral bleeding and pain, but it is usually temporary. Application: It is suitable for narrow urethral segment. Under the guidance of urethroscope, the narrow part will be cut by electrotomy or laser. Treatment effect: It can directly cut the narrow tissue, and the effect is relatively good. Risks and complications: Similar to urethral dilation, there may be bleeding, infection and other risks. 3. End-to-end urethral anastomosis: Application: It is suitable for complete urethral rupture or long urethral stricture. The broken end of the urethra can be re-anastomosed through surgery. Treatment effect: The continuity of the urethra can be restored, but the operation is difficult, and postoperative care is required. Risk and complications: The operation risk is high, and bleeding, urinary fistula and other complications may occur. 4. Urethral replacement surgery: Applicable conditions: In the case of severe urethral damage or irreparable cases, other tissues can be used to replace the urethra, such as autologous skin flap, mucosal transplantation, etc. Treatment effect: It can restore urethral urination function, but the operation is complicated and requires high physical conditions of patients. Risks and complications: The surgical risk is high, and donor site complications and immune reactions may occur. 5. Laser treatment: Applicable conditions: In recent years, laser technology has also been applied to the treatment of urethral stricture, such as holmium laser. Treatment effect: Laser treatment has the advantages of less bleeding and faster recovery. Risks and complications: Similar to other treatment methods, there may be risks of bleeding and infection. In addition to the above treatment methods, a variety of treatment methods can be combined according to the specific conditions of the patient. In addition, for some special groups, such as children, the elderly, patients with other diseases, etc., the choice of treatment methods needs to be more cautious, and various factors need to be considered comprehensively. In the treatment of urethral stricture, patients need to actively cooperate with the doctor's treatment plan, pay attention to personal hygiene, and keep the urethra clean. At the same time, regular urethral dilation or other treatments are performed to prevent recurrence of stricture. If symptoms such as dysuria, pain, etc. occur, seek medical attention promptly in order to adjust the treatment plan. In short, there are various treatment methods for urethral stricture, which need to be individualized according to the specific conditions of the patient. Patients should be treated under the guidance of the doctor and follow the doctor's recommendations for care and follow-up.