anterior urethroplasty

Urethral stenosis is extensive, can not be treated with urethral dilatation, or can be treated with urethroplasty and urethroplasty because of the long stenosis or multiple urethral resection of the urethra, which can cause urethral anastomosis. . There are many surgical methods, and urethrotomy and urethroplasty can be completed in one stage or in stages. Staged, first urethrotomy, open the urethral stenosis or occlusion, or artificial hypospadias, 3 to 6 months, then urethroplasty. Treatment of diseases: congenital giant urethra congenital posterior urethra fistula Indication Anterior urethroplasty is suitable for 3 to 6 months after anterior urethrotomy. Local scar tissue has softened, no obvious inflammation of the skin, and no artificial urethral opening. Surgical procedure Cut the strip The skin of the penis or scrotum was cut around the artificial urethra, and a strip of about 1.5 cm wide was cut and sneaked under the skin around the free incision. The tissue is tension-free with a new urethra that forms a normal lumen after suturing, and the bleeding point is stopped by electrocoagulation or gauze, and the ligature is left as little as possible. 2. Form the urethra The strips were sutured intermittently with a 4-0 absorbable line to make a tubular shape, and then the subcutaneous tissue was sutured intermittently with a thin thread. 3. suture the skin The penis or scrotal skin is sutured by wire suture to close the incision. After the urethra is formed, the vaginal bladder stoma is made.