Urethroplasty (Urethral Stricture Repair)

Urethroplasty is open surgical reconstruction of a narrowed urethra. The scarred section is either cut out and the healthy ends joined, or widened with a patch, most often taken from the inner lining of the cheek.

It is the most durable treatment for a stricture, with long-term success of about 85 to 95 percent depending on site and length, compared with frequent recurrence after repeated dilation or internal cutting. It is a bigger operation with a catheter for 2 to 3 weeks, and it needs a surgeon who does it regularly.

What Urethroplasty (Urethral Stricture Repair) involves

The stricture is mapped first with a retrograde urethrogram and voiding films, a flow test and sometimes cystoscopy or ultrasound. Under general anaesthetic you lie with the legs supported. For a short stricture in the bulbar urethra, the surgeon makes a cut in the perineum behind the scrotum, frees the urethra, removes the scarred 1 to 2 cm and sews the ends together over a catheter. For longer or penile strictures, the urethra is opened lengthwise through the narrowing, a strip of buccal mucosa is harvested from inside the cheek, and the graft is stitched in as a patch onto a well-supplied bed. A urethral catheter is left, sometimes with a suprapubic tube.

Who is a good candidate for Urethroplasty (Urethral Stricture Repair)?

Recommended when a stricture is long, has come back after endoscopic treatment, or lies where cutting rarely works.

• Recurrence after one urethrotomy or dilation
• Strictures longer than about 2 cm
• Penile urethral strictures, including those from lichen sclerosus or failed hypospadias repair
• Stricture after pelvic fracture, once the injury has matured for 3 months or more
• Men who are tired of self-dilating

It is usually not the right choice if:

• A first short bulbar stricture, where a single internal urethrotomy is a fair first step
• Men unfit for a 2 to 4 hour anaesthetic, for whom intermittent dilation or a suprapubic catheter may be kinder
• Active urinary infection or an abscess
• Heavy tobacco chewing or poor oral lining, which may require another graft source

الخيارات التقنية

• Excision and primary anastomosis: Short bulbar strictures, especially after injury. The highest success rate.
• Buccal mucosa graft urethroplasty: Longer bulbar or penile strictures. The graft can be placed on the upper, lower or side wall.
• Staged urethroplasty: Severe penile disease or lichen sclerosus. The urethra is laid open and grafted, then closed 4 to 6 months later.
• Perineal urethrostomy: A permanent opening behind the scrotum for complex cases or men who prefer a simpler solution.
• Posterior urethroplasty: For gaps after pelvic fracture.

ماذا يحدث خلال علاجك

The operation takes 2 to 4 hours under general anaesthetic. You stay 1 to 3 nights. The perineum is sore when sitting, and if a cheek graft was taken your mouth feels tight and tender for a week or two, though you can eat soft food the next day.

الإعداد لرحلتك

Plan for About 3 weeks, or less with local catheter removal in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

The catheter stays for 2 to 3 weeks and is removed after a dye X-ray confirms the repair is watertight. This timing shapes the trip: either stay about 3 weeks, or go home with the catheter and have the X-ray and removal done locally by arrangement. Avoid cycling, straddling and heavy lifting for 6 weeks. Flow checks at 3 and 12 months, then yearly for a few years, pick up any recurrence.

• Back to everyday activity: 2 to 4 weeks
• When results show: Flow improves once the catheter is out
• How long they last: Long-term success about 85 to 95 percent

سياسة السلامة والمخاطر والتنقيح

Urethroplasty is safe in experienced units. Side effects depend on the technique used.

• Recurrence of the stricture, in about 5 to 15 percent
• Urinary infection or wound infection
• Leak at the repair, usually settled by keeping the catheter longer
• Dribbling after urination
• Changes in erection, ejaculation force or penile sensation, mostly temporary
• Slight penile shortening or curvature after excision repairs of longer segments
• Mouth numbness, tightness or scarring at the graft site
• Leg nerve pressure symptoms from positioning, which are usually short-lived

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Urethroplasty (Urethral Stricture Repair) in Türkiye

Clinic-Y does not publish a single price for Urethroplasty (Urethral Stricture Repair), because the honest figure depends on your case. What moves it:

• Stricture length, site and whether one or two stages are needed
• Graft harvest and operating time
• Imaging before surgery and the catheter-removal X-ray
• Length of stay in hospital and in Istanbul

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

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