How does urethral stricture need treatment?

Urethral stricture is one of the most common diseases of the urinary system, mainly characterized by dysuria, urinary rheology, frequent micturition, urinary urgency, urinary incontinence and other symptoms. The treatment methods mainly include the following: 1. Urethral dilation: Urethral dilation is the preferred method for treating urethral stricture. Gradually dilate the urethra with a urethral probe or dilator to increase the diameter of the urethra. Urethral dilation is usually performed under local anesthesia. It is simple and minimally invasive, but it needs to be repeated many times. 2. Endourethrotomy: Urethrotomy is performed under urethroscope to enlarge urethral stricture by electrotomy or laser. This procedure is suitable for patients with short and limited urethral stricture. The advantages of urethrotomy are less trauma and faster recovery, but recurrence of urethral stricture may occur after operation. 3. End-to-end urethral anastomosis: End-to-end urethral anastomosis is indicated for patients with a long urethral stricture that cannot be treated by urethral dilation or internal urethrotomy. The operation involves removing the strictured urethra and then anastomosing the broken ends of the urethra to restore urethral continuity. End-to-end urethral anastomosis is more difficult and requires experienced doctors to perform. 4. Urethral replacement: Urethral replacement surgery is an alternative method for the treatment of urethral stricture. When the urethra is severely damaged or cannot be repaired, autologous or allogeneic tissues can be used to replace the urethra, such as oral mucosa, bladder mucosa, etc. The success rate of urethral replacement surgery is high, but the operation is complicated and there are many postoperative complications. 5. Comprehensive treatment: For some complicated cases of urethral stricture, a combination of multiple treatments may be required, such as urethral dilatation combined with internal urethrotomy, end-to-end urethral anastomosis combined with postoperative radiotherapy, etc. It should be noted that the treatment of urethral stricture should be selected according to the specific conditions of the patient, including the location, length and etiology of the stricture. During treatment, patients need to actively cooperate with doctors, pay attention to personal hygiene, and maintain urethral patency. At the same time, regular urethral dilation or urethroscopy is performed to prevent recurrence of urethral stricture. For special groups, such as children, the elderly, and patients with other diseases, treatment methods need to be adjusted according to specific conditions. Before treatment, the doctor will conduct a comprehensive evaluation of the patient and formulate an individualized treatment plan. In short, there are various treatment methods for urethral stricture, which need to be selected according to the specific conditions of the patient. Patients should seek medical attention promptly and receive professional treatment to improve the treatment effect and improve the quality of life.