Resection of the urethra: the purpose of the procedure, types, recovery
For the treatment and rehabilitation of structure of the genitourinary system in men and women use resection of the urethra. What is it? Resection of the urethra is the removal of a certain portion of the urethra, when traditional methods are ineffective. The procedure is very complicated, but always brings results. It requires serious preparation before surgical intervention and after the procedure.
What is the operation?
Before the surgery, the doctor carefully examines the history of illness, appoints an ultrasound and x-rays. When surgical procedure is excision of pathological areas of the body, and the areas that remain are sewn together. Operations men and women are different because of the structure. Is performed under local anesthesia. By dissection of the perineum the doctor gains access to the organs. During surgery, the catheter is placed, by which the output of urine out, it can stand and during the recovery phase. A very important factor is timely access to a specialist. After all, in the initial stages it is easier to overcome the disease.
Resection of the urethra in the following methods:
- The method of Marion-Holcova the most common. Patient need to lie on your back and lift your legs closer to the body before surgery. The essence of this method in the excision of scar-constricted part of the spongy Department of the excretory system with the stitching of the Central and peripheral segments of the «end to end». In turn, is divided into partial and complete. The latter are used in the diagnosis of tumors.
- Solovova method is used with persistent narrowing of the urethra. In the urinary channel injected metal bougie, then a number of manipulations after the operation sutures.
- Method Boudet is appointed when the previous methods are not suitable. If it is not possible to sew the ends after resection, the area of skin that lacks, is taken from a patient’s own tissue. At the end of the manipulation processes of all areas and the wounds sewn up.
The purpose of the procedure
Resection is indicated for monitoring urethral stricture. In other words it is the narrowing of the inner lumen in the urethra, in which there is a violation of the processes of urination in various forms. Patients complain of pain when urinating, difficulty while urge, a feeling of incomplete emptying and splashing urine. The operation aimed to remove the stricture of the urethra and restore normal and correct functionality of the organs. It is also possible to remove cancerous tumors. Women undergoing surgery to remove polyps. The symptoms of added isolation and a feeling of pulsation when urinating.
The main stages of the
The whole process is very time consuming and requires a special approach. Initially, the doctor conducting the study of disease. Then is the preparation for surgery. Select the method by which to perform the procedure. Patient ready for anesthesia. When the patient is already under General anesthesia, the doctor can start the operation. The duration of surgery depends on the extent of the disease. Followed by rehabilitation, which involves the completion of surgery, stapling or plastic surgery on the tissues of the body. The patient is in the intensive care unit until full recovery.
Recovery after resection of the urethra
After hospitalization, the patient needs time to come out of anesthesia and recover. The duration of stay in the hospital depends on the complexity of the procedure and may take a day or a month. The doctor may also prescribe antibiotics and other medicines for efficient recovery. It is also important to consume plenty of fluids. Not recommended the first time, this is due to the establishment of the seams, it is necessary to refrain from an active lifestyle, you need bed rest. In the first month of not lifting heavy, and give up going to the sauna and a bath, only a shower.
Sometimes there may be and complications after surgical and plastic surgery. Some patients are faced with early postoperative bleeding, incontinence, obstruction of the excretory system with the blood clots. In this case, high risk of infection. During surgery can sometimes be damage to the urethra, erection of the penis. There are contraindications to this procedure. Blood coagulation, infectious diseases, inflammation may cause the transfer of the operation or its cancellation. In the case of severe tolerability of drugs for anesthesia there are breathing problems and allergic reactions.