Why is Urethrotomy Done on Patients?


A urethrotomy is referred to as a direct vision urethrotomy, which is a surgery utilized to treat urethral stricture disease. Urethrotomy is only performed on men, as a urethral stricture on females is extremely rare. A urethrotomy is an outpatient surgical treatment that utilizes a urethrotome, as well as a medical blade, is traveled through a cystoscope to broaden a slim urethra.


A few of the most common signs that may lead to a urethrotomy consist of pain when urinating, and urine contains blood, urinary system infections, as well as a failure to empty the bladder totally. Every one of these signs is great indicators of a constricting in the urethra, the tube that expels urine from the bladder.

When these signs and symptoms are discovered, the next action is to establish if the reason is urethral stricture illness. This can be diagnosed with a couple of basic procedures:

  • Physical exam
  • Retrograde urethrogram
  • Urethral x-ray or ultrasound
  • Cystoscopy
  • Urethroscopy


However, there is not a high lasting success rate when it involves urethrotomy. Lots of people that have one will call for multiple succeeding surgical procedures, as there is an increased risk of urethral stricture reoccurring. Researchers have found that in the short term, for less than six months following surgical procedure, the success rate is around 70% to 80%. This number will decrease as people get to the one-year mark as well as succeeding the following years.

Different Treatments

There are a few different procedures offered. These alternative procedures include the extension as well as urethroplasty. The extension is the practice of putting slim poles right into the urethra to raise the size as well as extend the stricture, inevitably widening the slim opening. Urethroplasty is the restoration or substitute of the tightened urethra through open surgical treatment. The treatment your medical professional suggests will widely depend on the seriousness of your urethral stricture, along with the success of previous procedures you have actually gone through in the past.