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Urology (Expert Forum)
Failed urethroplasty
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Failed urethroplasty
by peter__0__0, Dec 19, 1998 12:00AM
I had a urethroplasty 4 weeks ago. The Dr. replkaced 2" of urethra with foreskin tissue.Within 4 weeks I was restrictured. He tried to dilate the end of my penis, and innadvertantly ruptured the urethra. The next time I urinated,My penis swelled up like a bloated codfish aqccompanied with unbearable pain.I had to be re caheturised with a #12 pediatric foley. I may be looking at further surgery. I've heard there is a laser procedure available. Is this true? What other options to further surgery do I have? Thank you in advance for any information. Also could this rapid reccurence be cancerous in nature? Peter
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Dear Peter
Thanks for your questions.
As far as cancer is concerned, the resected specimen should have been sent to pathology to look for cancer. The chances of cancer is extremely low if the path report is negative.
Laser surgery is usually used to incise the stricture in hopes of decreasing the scar tissue formation. I am sure your urethra already has a lot of scar tissue just because of your healing from the last surgery.
buccal mucosal free graft are continuing to show promise as a urethral tissue substitute. Good luck with possible future surgical corrections.
More individualized care is available at the Henry Ford Hospital and its urban campuses by calling (1 800 653 6568). We can also arrange local accommodations through this number if this is your need. Please bring any physicians’ notes and lab test results that you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS-M.D. MS
* Keyword: stricture complications
