Urethroplasty is a surgical repair of the urethra to treat injuries or defects caused by trauma, medical procedures, or infections. There are several types of urethroplasty procedures that can be used depending on the location and severity of the damage. The surgery involves accessing and repairing the damaged part of the urethra by removing or rebuilding the strictured tissue. Grafts from the mouth, genitals, or rectum may be used to supplement the repair. After closing the incision, a catheter is placed to allow the urethra to heal while draining urine, and is usually kept in place for two weeks. Potential complications include bleeding, infection, erectile dysfunction,

1. URETHROPLASTY

2. OVERVIEW TOPIC
 What is urethroplasty?
 Indication
 Diagnostic examination
 Preparation for surgery
 Complication

3. URETHROPLASTY
Scar tissue repair of
urine channel
Surgical repair of an
injury or defect within
the walls of the urethra.
Trauma, iatrogenic injury
and infections are the
most common causes of
urethral injury/ defect
requiring repair.

4. 4 types of urethroplasty perform :
Anastomotic
Buccal
mucosa
onlay graft
Scrotal or
penile island
flap (graft)
Johansen’s
urethroplasty

6. 2 types of
urethroplasty
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-

7. ANASTOMOTIC
URETHROPLASTY

10. INDICATION
 URETHRAL STRICTURE – some parts of your urethra has become
narrower, blocking the flow of urine. Urinary strictures are much
more common in the men than women.
 EPISPADIAS OR HYPOSPADIAS – congenital conditions that affect
your urethra, which were repaired in childhood. Blockage are
especially common in urethras that have previously been rebuilt.
 SEVERE TRAUMA

11. Diagnostic





14. Preparation for surgery
Preparation sterile store
 General set
 Scope set
 Major linen
 Mayo cover
 Dressing towel
 Gown
Supplement
 Diathermy flex with pin
 Bipolar diathermy
 Skin hook retractor
 Scott retractor
 Turner warwick Retractor
 Mastoid retractor
 Morison retractor
 Curved sharp scissor
 Iris scissor
 6’ Debackey df
 Mosquito artery
 Short babcock
 Medium lagenback retractor

15. Preparation OR
Blade #15, #11 Suction tubing Ivd tubing Vicryl 3/0, 4/0 Vicryl rapide 3/0
Foley’s catheter #14,
#16
Silicone catheter
#14, #16
Flexible scope Rigid scope
Bentson/roadrunner
guidewire
Ureteric catheter #5

16. For buccal mucosa
Bipolar
diathermy
Mouth gag
Tongue
depressor
Iris scissor
Curved sharp
scissor
Adson
tooth&non
tooth DF
 Marcaine adrenalin
 Adrenaline
 Saline (to paint)
 Needle orange
 (make sure remark for throat pack)

17. What happen during urethroplasty
 The incision to the muscle tissue to reach the urethra. The incision is typically
either on the underside of the penis, in scrotum and anus(perineum)
 Location of the stricture identified, either removed or rebuilt depending on the
length and location.
 If the blockage is longer, or located in the penile urethra, the surgeon will
harvest the mouth, genital or rectal tissue to supplement the incised(cut away)
tissue from the urethra.
 The incision then closed and a small drain is placed.
 The catheter allows the urethra to heal while urine is able to leave the
body.(usually keep for 2 weeks)
 Muscle and skin closed up with stitches that absorbed by the body.

19. COMPLICATION
 Bleeding – external and inyeternal suture
line
 Infection
 Erectile dysfunction
 Urine spraying
 Recurrent of stricture (in long term)

20. Thank You