Urology Expert Forum
Urethroplasty
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Urethroplasty
I am scheduled for a possible Urethroplasty soon.  I have had problems with a congenital urethral stricture for some time now with over 5 urethrotomies, with only temporary success.  My stricture is extremely close to my involuntary sphincter muscle.  This worries me greatly because of possible complications due to the location of the stricture.  What are some of the questions that I should be asking?
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Dear Eric,
As a rule the long term success rate of urethrotomies is poor. The more successful procedure in a young and healthy patient is primary urethroplasty.  Incontinence is a possible complication.
The length of the stricture is an important factor in the success of the procedure. Usually a shorter stricture has better outcome. Sometimes if a stricture is too long , the surgeon might need to use tissue from  other areas such as skin (from a hairless area) or the tissue from the inside of the cheeks(
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A related discussion, Urethroplasy Failure? was started.
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