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Comprehensive Information on Urethral Stricture
Treatment by Dr. Soumyan Dey in Navi Mumbai
Introduction:
Urethral stricture is a condition characterized by the narrowing of the urethra, the tube responsible
for carrying urine out of the body. Dr. Soumyan Dey, a urologist in Navi Mumbai, provides
comprehensive treatment options for urethral strictures, focusing on effective and definitive
solutions.
Understanding Urethral Stricture:
Urethral strictures typically exceed one centimeter in length, leading to urinary flow obstruction and
the development of Lower Urinary Tract Symptoms (LUTS). While temporary measures like
endoscopic treatments may be employed, they often result in high failure rates, necessitating long-
term self-catheterization. Dr. Dey emphasizes urethroplasty as the best and definitive treatment,
boasting success rates of around 98%, without the need for post-operative self-catheterization.
Symptoms, Causes, and Diagnosis:
Identifying urethral stricture symptoms, including poor urine stream, straining, and recurrent
infections, is crucial. Diagnosis involves clinical examinations, urinalysis, uroflowmetry,
ultrasonography, and imaging studies such as retrograde urethrogram (RGU) and micturating
cystourethrogram (MCU). Causes range from inflammatory and traumatic to infectious, including
sexually transmitted infections and radiation to pelvic organs.
Treatment Options:
For immediate relief in cases of urine retention, catheterization is the initial step. Definitive
treatments offered by Dr. Dey include:
1. Endoscopic Urethrotomy (VIU/OIU):
Visual Internal Urethrotomy involves using an endoscope to visualize and cut scar tissue at the
stricture site. While effective for small, soft strictures, it often results in high failure rates and
requires frequent long-term self-calibration.
2. End-to-End Anastomotic Urethroplasty:
Surgical removal of the narrowed urethral section, followed by re-suturing healthy ends over a Foley
catheter, is employed, particularly for traumatic strictures.
3. Buccal Mucosa Graft Urethroplasty:
For longer strictures where end-to-end repair is not possible, the narrowed segment is widened
using tissue grafts, usually harvested from oral mucosa. Results are favorable with a low recurrence
rate.
4. Two-Stage Urethroplasty:
Though less common, this procedure involves creating a wider urethral plate in the first operation
and closing it in a second operation after sufficient healing, allowing normal urine flow.
Urethral Stricture Surgery (VIU Surgery):
Visual Internal Urethrotomy (VIU) is an effective surgical procedure for repairing urethral strictures.
While offering a minimally-invasive option, patients may require repeated VIU surgeries, followed by
intermittent self-dilatation (ISD) for optimal results. Cystoscopy with VIU, a diagnostic and treatment
procedure, allows visualization of the bladder and urethra, with the option to remove tumors or
collect tissue samples for further testing.
Conclusion:
Dr. Soumyan Dey's approach to urethral stricture treatment in Navi Mumbai combines a thorough
understanding of symptoms, causes, and diagnostic methods with a range of effective and definitive
treatment options, ensuring the best possible outcomes for patients.
Contact Us
Map Location: https://maps.app.goo.gl/xwQQR1M7WsU8Cyqq5
To book an appointment Call: +919136561220
Main office location
Chamber 23, 2nd floor Mahavir Centre, Sector 17, Vashi, Navi Mumbai, Maharashtra 400703, India
Office business hours
Mon-Sat: 5 PM – 9 PM Mon, Wed & Fri: 9:30 AM -10:30 AM (by appointment ONLY) Sun: Closed

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Urethral Stricture Treatment in Navi Mumbai.pdf

  • 1. Comprehensive Information on Urethral Stricture Treatment by Dr. Soumyan Dey in Navi Mumbai Introduction: Urethral stricture is a condition characterized by the narrowing of the urethra, the tube responsible for carrying urine out of the body. Dr. Soumyan Dey, a urologist in Navi Mumbai, provides comprehensive treatment options for urethral strictures, focusing on effective and definitive solutions. Understanding Urethral Stricture:
  • 2. Urethral strictures typically exceed one centimeter in length, leading to urinary flow obstruction and the development of Lower Urinary Tract Symptoms (LUTS). While temporary measures like endoscopic treatments may be employed, they often result in high failure rates, necessitating long- term self-catheterization. Dr. Dey emphasizes urethroplasty as the best and definitive treatment, boasting success rates of around 98%, without the need for post-operative self-catheterization. Symptoms, Causes, and Diagnosis: Identifying urethral stricture symptoms, including poor urine stream, straining, and recurrent infections, is crucial. Diagnosis involves clinical examinations, urinalysis, uroflowmetry, ultrasonography, and imaging studies such as retrograde urethrogram (RGU) and micturating cystourethrogram (MCU). Causes range from inflammatory and traumatic to infectious, including sexually transmitted infections and radiation to pelvic organs. Treatment Options: For immediate relief in cases of urine retention, catheterization is the initial step. Definitive treatments offered by Dr. Dey include: 1. Endoscopic Urethrotomy (VIU/OIU): Visual Internal Urethrotomy involves using an endoscope to visualize and cut scar tissue at the stricture site. While effective for small, soft strictures, it often results in high failure rates and requires frequent long-term self-calibration. 2. End-to-End Anastomotic Urethroplasty: Surgical removal of the narrowed urethral section, followed by re-suturing healthy ends over a Foley catheter, is employed, particularly for traumatic strictures. 3. Buccal Mucosa Graft Urethroplasty: For longer strictures where end-to-end repair is not possible, the narrowed segment is widened using tissue grafts, usually harvested from oral mucosa. Results are favorable with a low recurrence rate. 4. Two-Stage Urethroplasty: Though less common, this procedure involves creating a wider urethral plate in the first operation and closing it in a second operation after sufficient healing, allowing normal urine flow. Urethral Stricture Surgery (VIU Surgery):
  • 3. Visual Internal Urethrotomy (VIU) is an effective surgical procedure for repairing urethral strictures. While offering a minimally-invasive option, patients may require repeated VIU surgeries, followed by intermittent self-dilatation (ISD) for optimal results. Cystoscopy with VIU, a diagnostic and treatment procedure, allows visualization of the bladder and urethra, with the option to remove tumors or collect tissue samples for further testing. Conclusion: Dr. Soumyan Dey's approach to urethral stricture treatment in Navi Mumbai combines a thorough understanding of symptoms, causes, and diagnostic methods with a range of effective and definitive treatment options, ensuring the best possible outcomes for patients. Contact Us Map Location: https://maps.app.goo.gl/xwQQR1M7WsU8Cyqq5 To book an appointment Call: +919136561220 Main office location Chamber 23, 2nd floor Mahavir Centre, Sector 17, Vashi, Navi Mumbai, Maharashtra 400703, India Office business hours Mon-Sat: 5 PM – 9 PM Mon, Wed & Fri: 9:30 AM -10:30 AM (by appointment ONLY) Sun: Closed