What is Endoscopic Urethrotomy?
Endoscopic urethrotomy is a minimally invasive procedure used to treat urethral strictures, which are narrowings in the urethra caused by scar tissue or growths. These blockages can make urination difficult or painful. During the procedure, a thin instrument with a camera and tools (cystoscope or urethrotome) is used to cut and open the restricted area, restoring normal urine flow.
When is Endoscopic Urethrotomy Needed?
Doctors recommend this procedure for symptoms like:
- Weak Urine Flow: Difficulty starting urination or a slow stream.
- Urinary Retention: Struggling to empty the bladder fully.
- Frequent UTIs: Recurring infections due to trapped urine.
- Painful Urination: Discomfort caused by increased pressure in the urethra.
This treatment is ideal for short and uncomplicated strictures but might not work as well for longer or complex cases.
How is the Endoscopic Urethrotomy Procedure Done?
The procedure is straightforward and typically performed under anesthesia:
- Scope Insertion: The doctor inserts a camera-equipped instrument into the urethra to locate the blockage.
- Cutting the Stricture: A small incision is made with a blade or laser to open the narrowed area.
- Dilation (If Needed): The urethra may be gently widened using dilators.
- Catheter Placement: A catheter is left in place for a few days to support healing.
Recovery after Endoscopic Urethrotomy
Most patients recover quickly, but proper care is important:
- Pain Management: Mild burning during urination is normal and manageable with medication.
- Catheter Hygiene: Keep the catheter clean to avoid infection.
- Hydration: Drink plenty of water to flush the urinary system.
- Follow-Up Visits: Regular check-ups ensure proper healing and detect recurrence.
Why Choose Endoscopic Urethrotomy?
- Minimally Invasive: Less trauma, quicker recovery, and no large incisions.
- Immediate Symptom Relief: Improved urine flow right after the procedure.
- Repeatable: It can be done again if needed or combined with other treatments.
Risks of Endoscopic Urethrotomy
While generally safe, some risks include:
- Stricture Recurrence: Narrowing may return, especially in longer strictures.
- Infection: Proper care helps prevent urinary tract infections.
- Minor Bleeding: Often resolves on its own.
- Temporary Urinary Issues: Difficulty urinating after catheter removal is rare but possible.
Other Treatment Options for Endoscopic Urethrotomy
If strictures keep coming back, alternative treatments include:
- Urethral Dilation: Gradually widening the urethra, though results may not last.
- Urethroplasty: Open surgery to reconstruct the urethra, better for complex cases.
- Stents: Small devices to keep the urethra open, used less frequently.
Endoscopic Urethrotomy is a safe and effective way to treat simple urethral strictures, helping patients regain comfort and quality of life. For persistent or severe cases, advanced treatments are available. Contact us to find the best option for you.