Dr Jo Schoeman
Urological Surgeon

        

Urethral Dilatation

Product Summary: AMA rates

Dilatation of urethral stricture. Dine in combination with urethroscopy and placement of IDC is advocated on daily basis at home as management of urethral stricture.

Item Number: 37303, 105

Why is it done?

  • To treat a narrowing in the urethra which has formed due to previous damage/injury to the urethra.
  • Causes: after bypass surgery where a drop in blood pressure has caused an area of low blood supply to the urethra; trauma to the urethra (pelvic fractures/ urethral instrumentation); and sexually transmitted diseases.
  • The procedure placing a dilator un your urethra on a daily basis.
  • It aids in keeping you urethra open and prevents eventual kidney damage / failure.

How is it done?

  • Patients will receive a local anaesthetic.
  • A urethroscopy is performed by placing a flexible camera in the urethra, with the help of a lubricant jelly and an irrigant (fluid), to identify the stricture.
  • A guidewire is slipped through the opening of the narrowing.
  • The camera is removed.
  • The stricture is dilated using a graduated S dilators over the guide wire.
  • Prophylactic antibiotics may be given to prevent infection.

What to expect after the procedure?

  • It may be slightly uncomfortable, Please don’t hesitate to tell jo and request sedation if required.
  • A catheter will be inserted in the urethra and bladder. This will remain in the bladder for 3 days.
  • Catheters can be very irritating and cause some discomfort.
  • Blood stained urine will be present.
  • Lower abdominal discomfort will persist for a few days.
  • NB! Each person is unique and for this reason symptoms may vary!

What next?

  • Patients will be sent home with a catheter for 3 days after receiving thorough catheter care instructions.
  • Arrangements will be made to remove the catheter on day 3.
  • There may be some blood in the urine. This can be remedied by drinking plenty of fluids until it clears.
  • A referral will be done to Bluecare Nurses, who will asses you to instruct you on daily self-dilatation.
  • On discharge a prescription may be issued for patients to collect.
  • Patients should schedule a follow-up appointment with Dr Schoeman within 6-8 weeks.
  • Should patients have any problems with urination, please contact the rooms for an earlier appointment.
  • Please don’t hesitate to direct any further queries to Dr Schoeman’s rooms.
  • PLEASE CONTACT THE HOSPITAL WITH ANY POST-OPERATIVE CONCERNS AND RETURN TO THE HOSPITAL IMMEDIATELY SHOULD THERE BE ANY SIGNS OF SEPSIS.

Urethral Dilatation Urethral Dilatation (393 KB)