Urethral reconstruction (urethroplasty) for urethral stricture

In the open procedure, an incision is made in the perineal area at the level of the narrowing. The narrowing is located and "incised". The existing defect is usually covered with oral mucosa from the cheek, which is very well suited for this purpose and is harvested in the same session. The operation is therefore also called buccal mucosa urethroplasty. The procedure requires a great deal of experience and should therefore definitely be performed by a specialist.

During the first 5 days, a urethral catheter remains in the urinary bladder and ensures that the mucosa in the surgical area heals well. The patient is discharged after the catheter has been removed. In most cases, a so-called suprapubic catheter also remains in place for some time, through which the urine can drain while the surgical area is protected. Follow-up treatment includes regular check-ups in which the strength of the urine stream and correct bladder emptying are checked.

In addition to the general risks of any operation, such as bleeding or fever, impaired wound healing can cause the graft to take poorly. In the mouth area, pain or numbness can occasionally occur and, rarely, scarring. All possible risks of the surgical procedure are discussed in a detailed consultation before the operation

If the procedure is performed by an experienced surgeon, a good and, above all, satisfactory long-term result can be expected. At the Goldstadt Private Clinic, these procedures are performed by Privatdozent Dr. med. Jörg Seibold. His more than 20 years of experience in the field of reconstructive urology ensures optimal surgical results.