What is the procedure to widen the urethra?

What is the procedure to widen the urethra?

Urethroplasty. This involves surgically removing the narrowed section of your urethra or enlarging it. The procedure might also involve reconstruction of the surrounding tissues. Tissues from other areas of the body, such as your skin or mouth, may be used as a graft during reconstruction.

What instrument is used in a cystoscopy?

Cystoscopy is a procedure that uses a cystoscope to look inside the urethra and bladder. A cystoscope is a long, thin optical instrument with an eyepiece at one end, a rigid or flexible tube in the middle, and a tiny lens and light at the other end of the tube.

What is the Urethrotome used for?

The Otis urethrotome was routinely used to incise urethral strictures blindly before the development of endoscopic equipment that permitted direct vision internal urethrotomy (DVIU) with the use of a cold knife or a laser fiber.

What is a DVIU procedure?

Urethrotomy, also known as direct vision internal urethrotomy, is a surgical procedure used to treat urethral stricture disease. 1 It is an outpatient surgery that involves using a urethrotome or a surgical knife passed through a cystoscope to widen a narrowed urethra.

How common is UTI after cystoscopy?

Flexible cystoscopy is a short, common outpatient urologic procedure associated with a potential risk of postprocedure urinary tract infection (UTI). The risk of UTI described in the literature is up to 10%, and the recommendations for pre–flexible cystoscopy antimicrobial prophylaxis remain unclear.

How long is recovery after cystoscopy?

You may feel the need to urinate more often, and your urine may be pink. These symptoms should get better in 1 or 2 days. You will probably be able to go back to work or most of your usual activities in 1 or 2 days. This care sheet gives you a general idea about how long it will take for you to recover.

How serious is urethral stricture?

If left untreated, a urethral stricture can cause serious problems, including bladder and kidney damage, infections caused by the obstruction of urine flow, and poor ejaculation and infertility in men.

Is a Urethrogram painful?

Will the examination be painful? An urethrogram may cause a little discomfort during catheterisation. In addition as the dye is introduced you may have a sensation of pressure in your urethra, especially if you do have a stricture (narrowing) of that area.

What are the instruments that dilate the urethra?

Filliforms and Followers. The filliform is a long and very narrow instrument that is advanced through the urethra. The filliform is then attached to progressively larger dilating instruments that are guided through the stricture, providing progressive dilation. Alternatively, the stricture can be balloon dilated.

What kind of instruments are used in urology?

Instrument list Instrument Uses General instruments used in adult medici Ultrasonic stone disintegration apparatu used to break down kidney stones into sm Cystoscope an endoscope to view the urinary passage Urethral sound instrument used to dilate urethra and re

How is the filiform advanced in the urethral stricture?

The filiform is a long and very narrow instrument that is advanced through the urethral stricture to aid in the dilation process. Once the filiform is advanced easily through the stricture, it is attached to progressively larger dilating instruments.

How is self catheterization used to treat urethral stricture?

Self-catheterization is a procedure where the patient will periodically insert a catheter (tube) into his urethra in an attempt to prevent stricture recurrence, using the catheter as a dilating instrument. An internal urethrotomy is a surgical procedure that will internally incise the stricture.