Jakarta (ANTARA) – The narrowing of the lower urinary tract or urethral stricture is usually found in men which can be caused by various conditions and conditions. In general, scar tissue can form on the inside of the lower urinary tract or urethra, which can narrow the tube.
As quoted from the RSUI press release, Thursday, several things that cause lower urinary tract narrowing include medical procedures that involve inserting an instrument (cystoscope) into the urethra, intermittent or long-term use of a catheter that is inserted through the urethra to drain urine from the bladder.
Other causes include trauma or injury to the urethra or pelvis, enlarged prostate or previous surgery to remove or reduce an enlarged prostate gland, urethra or prostate cancer, sexually transmitted infections and radiation therapy.
Symptoms that arise and complain of patients in this condition vary, ranging from reduced urine flow, not optimal bladder emptying, branched urine flow, straining or pain when urinating, increased urge to urinate or more frequent urination and the presence of urinary tract infection.
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One of the ways to treat this problem is through minimally invasive therapy in the form of observing the urinary tract and widening the channel which is considered narrow so that the flow of urine is smoother.
This procedure is usually performed in disease of the urethral structure at the first finding, narrowing that is short or less than 1 cm and minimal scarring.
On the other hand, open surgical therapy (urethroplasty) can be performed in cases with a history of trauma and a more complex urethral stricture that is above 1 cm and extensive scarring. This procedure is performed by cutting the narrowed urinary tract and reconnecting the two healthy urethral edges.
Urology specialist from the University of Indonesia Hospital (RSUI), dr. Gampo Alam SpU(K) said that these two procedures can be performed according to the indications of each patient in order to get the best results and minimal recurrence.
“Whether minimally invasive or open surgery is routinely performed at RSUI with satisfactory results, operations are carried out using the latest techniques with the best equipment in order to provide maximum benefits and results for patients,” he said.
According to RSUI urology specialist, dr. Dyandra Parikesit, BMedSc, SpU, this postoperative healing did not take long. The operation takes about 1-3 hours.
After that, the patient will be placed on a postoperative catheter, then treated as an outpatient after 1 day of minimally invasive surgery and 2-3 days after open surgery.
“Although the healing process does not require a long time, patients need to avoid strenuous activities for 30 days,” he said.
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Reporter: Lia Wanadriani Santosa
Editor: Maria Rosari Dwi Putri
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