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Urethroplasty

Definition

Scar tissue in the urine channel (the path between the bladder and the end of the penis) can block the flow of urine. Urethroplasty removes or moves the tissue to enlarge the urine channel. 

Expect

Prior to Procedure

Our urology team will X-ray your urethra to locate the scar tissue. We may also evaluate your urinary track through a uroflow test (to measure the flow and force of your urine) or cytoscopy

After the Procedure

Most patients stay in the hospital for 1-2 days after surgery. 

You'll have a small tube called a catheter inside you for 10-20 days so the area can drain as it heals. It is normal for urine to leak around the catheter, especially during bowel movements. 

If you notice your catheter isn't draining, change positions and drink more fluid. If this doesn't help, contact your care team. 

Your care team will show you how to keep the catheter clean and tape it to the skin so it doesn't move. Use antibiotic ointment at the penis opening daily to keep the catheter from sticking. 

You may experience mild pain, scrotal swelling and minor bleeding. Treat this by:

  • Wearing a jock strap or tight underwear
  • Taking over-the-counter pain medication. Your doctor may also prescribe medication.
  • Using an ice pack
  • Avoiding sex
  • Wearing gauze over your dressing
  • Sitting in a bath with water up to your hips beginning a week after surgery

Resuming Activities

Limit your activity for at least two weeks or until after your catheter is removed. You may return to work when you feel comfortable, but limit heavy lifting (greater than 20 pounds) or any extended walking and running.

You may begin to shower 48-72 hours after surgery. You can get your incision wet, but don't scrub it. Avoid swimming for two weeks or until the catheter is removed. 

Be sure to ask your care team about any other restrictions before you leave the hospital. 

Will I Have a Scar?

Most procedures are performed through the perineum, the region between the scrotum and the penis. In some cases, it's necessary to cut the penis to use skin from it. Rarely, this can leave scar tissue on the outside of the penis. 

Call

Contact your care team if you have:

  • Severe swelling (larger than a big orange)
  • Excessive fluid draining (you're soaking several pads per day)
  • Increased pain, redness or tenderness
  • Pus draining from the incision
  • A fever greater than 101
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