Urethral stricture
Causes of urethral stricture may be previous urinary tract infections, accidents, catheters or preoperations on the urinary organs. Urethral scar tissue is produced in the urethra area in this case, narrowing it. Untreated, this disease leads to an increasingly diminished urinary stream and micturition disturbance with residual urine formation. This can lead to complaints such as frequent urination, urinary tract infections, as well as progressive loss of bladder function with urine backflow into the kidneys and resulting renal failure.
Treatment / Therapy
When the urethral stricture occurs for the first time, we recommend an endoscopic urethral slit as this has a success probability of approximately 70%. If a urethral slit has been unsuccessful 1-2 times previously, this is no longer a promising option. In this case the length of the stricture and thus the urethral stenosis to be reconstructed should be surveyed, and in a further operation approximately 4-6 weeks after the endoscopic slit, an open reconstruction with an oral mucosa transplant is to be undertaken. This operation method currently has the best long-term success rates at 90%, versus only a urethral slit.
Contact
[Clinic and Polyclinic for Urology
OÄ Dr. Laura Hoppe
Contact
Tamara Usichenko
Geschäftsbereich Patientenmanagement
Universitätsmedizin Greifswald
Fleischmannstr. 8
17475 Greifswald
Phone: +49 3834 86-5184
Mobil: +49 151 55459980
E-Mail: international.patientsmed.uni-greifswaldde