Surgical repair of the urethra

Posterior urethral reconstruction is a surgical procedure for males that is sometimes needed after trauma to the urethra. The urethra is the tube that carries urine out of the body from the bladder through the penis. The surgery is most often performed for urethral stricture (or narrowing) after trauma, such as a pelvic fracture. Inserting a small tube (catheter) into your bladder to drain urine is the usual first step for treating.

Your doctor inserts a tiny wire through the urethra and into the bladder. Progressively larger dilators pass.

A sling is a piece of human or animal tissue or a synthetic tape that a surgeon places to support the bladder neck and urethra. Two sling techniques are shown — the retropubic and transobturator. Both are designed to reduce or eliminate stress incontinence in women. A urethroplasty, also known as a urethral reconstruction , is an open surgery to repair a urethral stricture.

Unlike urethral dilations or incisions of the stricture, urethroplasty surgery is an open operation with an incision of the skin and direct urethral stricture repair. Repeated dilation or incision of a urethral stricture causes scar tissue proliferation and decreases the success rate of the inevitable open surgical repair. What is surgical repair to the ureter called?

The narrowed portion of the ureter is cut out.

If a large section is remove tissue is used to repair the ureter. This tissue is taken from another part of the body, such as the bladder. The cut ends of the ureter are then stitched together. This realignment of the urethra decreases the risk of urethral stricture formation by about and makes surgery for repair of the stricture, if it occurs, easier.

Success rates with repairs of urethral strictures from pelvic fractures is about - with excision of the stricture and bringing the ends of the urethra together (reapproximation). When a woman’s bladder sags out of place in her abdomen and breaks through into the vagina, that’s called bladder prolapse. It can cause pain, difficulty peeing and other issues, but it’s. Mid-urethral sling surgery is the most common. Urethroplasty is the surgical repair of the urethra , the tube.

A thin strip of mesh is used to make the sling , and your surgeon will put it under your urethra in one of three ways. Each type takes about minutes. Bladder surgery is the repair of the bladder through surgical means.

In some cases, the bladder needs to be removed. In its place, surgeons reconstruct the bladder with intestinal tissue. Doctors sometimes recommend bladder surgery for urinary incontinence, bladder cancer, and cystocele. NYU Langone surgeons are among a handful in New York City who perform urethroplasty, a surgery to remove scar tissue and widen the urethra.

Our surgeons specialize in performing urethroplasty for strictures caused by prostate cancer radiation therapy. What surgical methods are used to reconstruct the injured ureter?

If you have a urethral stricture, in general, you can do nothing (observation), have treatment to open up the stricture internally with urethral dilations or internal incisions (called urethrotomy), or have an open surgery for repair (called urethroplasty). Pelvic organ prolapse can result in symptoms including urinary leakage, constipation, and difficulty with intercourse. Laparoscopic surgery can provide a method for reconstruction of the pelvic floor and its contents without the need for a large abdominal incision.

Surgical management of these fistulas is sometimes complicate and failure can occur. The operation is difficult when the defect between the urethra and the vagina is larger or scarre so surgical intervention and the preferred technique are controversial. The recovery from UD surgery usually takes two to three weeks.

You’ll also have a catheter during the recovery process.