Stricture Urethra
The urethra's main job in males and females is to pass urine outside the body. This thin tube also has an important role in ejaculation for men. When a scar from swelling, injury or infection blocks or slows the flow of urine in this tube, it is called a urethral stricture. Some people feel pain with a urethral stricture.
What Happens under Normal Conditions?The bladder empties through the urethra and out of the body (called voiding). The female urethra is much shorter than the male's. In males, urine must travel a longer distance from the bladder through the penis.
In males, the first 1" to 2" of the urethra that urine passes through is called the posterior urethra. The posterior urethra includes:
- the bladder neck (the opening of the bladder)
- the prostatic urethra (the part of the urethra by the prostate)
- the membranous urethra
- a muscle called the external urinary sphincter
Strictures that happen in the first 1" to 2" of the urethra that urine passes through are called posterior strictures.
In males, the final 9" to 10" of the urethra is called the anterior urethra. The anterior urethra includes:
- the bulbar urethra (under the scrotum and perineum- the area between the scrotum and anus)
- the penile urethra (along the bottom of the penis)
- the meatus (the exit at the tip of the penis)
It can be done by Urethroplasty End to End Urethroplasty Surgery & Buccal Mucosal Urethroplasty .
Hypospadiasis
The treatment for hypospadias is surgical repair. Hypospadias is generally repaired for functional and cosmetic reasons. The more proximally ectopic the position of the urethral meatus, the more likely the urinary stream is to be deflected downward, which may necessitate urination in a seated position. Any element of chordee can exacerbate this abnormality. Fertility may be affected. The abnormal deflection of ejaculate may preclude effective insemination, and significant chordee can preclude vaginal insertion of the penis or can be associated with inherently painful erections. Minor cases of hypospadias, in which the meatus is located up toward the tip of the glans, may not require surgical repair and may simply be managed with observation. It must be kept in mind, however, that although the most minor forms of hypospadias are insignificant in physiologic terms, they too may merit repair on the basis of the potential psychological stress associated with having a genital anomaly.
Surgical CareThe goals of surgical treatment of hypospadias are as follows:
- To create a straight penis by repairing any curvature (orthoplasty)
- To create a urethra with its meatus at the tip of the penis (urethroplasty)
- To re-form the glans into a more natural conical configuration (glansplasty)
- To achieve cosmetically acceptable penile skin coverage
- To create a normal-appearing scrotum
The resulting penis should be suitable for future sexual intercourse, should enable the patient to void while standing, and should present an acceptable cosmetic appearance.
Case- Condition where urethral opening is proximal to the normal glanular location Developmental abnormality
- Developmental abnormality
- Occurs in 1 in 300 males
- Treatment : Surgical Correction
- Age for Surgery : 3 months of age or older
