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!
- 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.
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