Description optical internal urethrotomy
Optical internal urethrotomy (THIS) It represents an operation to restore the narrowed portion of the urethra (urethra). Urethra канал – орган в виде трубки, through which urine from the bladder is beyond body.
Reasons for optical internal urethrotomy
Due to the scarring of the urethra urethral stricture arises. Scarring can be caused by infection or injury. SVA extends the scar tissue and open the urethra.
Urethral stricture, which are more common in men, than in women, may lead to the next:
- Problems with the prostate gland in men (eg, infection, inflammation);
- Bladder infections, ureters (carry urine from the kidneys to the bladder), or kidney disease;
- The inability to urinate or the inability to completely empty the bladder.
Possible complications optical internal urethrotomy
Complications are rare, but no procedure does not guarantee the absence of risk. Before, how to perform the SVA, you need to know about possible complications, which may include:
- Abscess or damage to urethra;
- Recurrence of stricture;
- The need for additional surgery;
- Pain in the penis;
- Erectile dysfunction;
- Pain with urination;
- Common complications:
- Bleeding;
- Reaction to anesthesia (eg, dizziness, lowering blood pressure, breathlessness);
- Infection;
- Damage or scarring of tissue;
- Injury to surrounding organs;
- Сердечный приступ или инсульт;
- Blood clots.
Factors, that may increase the risk of complications:
- Bleeding disorders or taking drugs, reduce blood clotting;
- Obesity;
- Smoking.
How is the internal optical urethrotomy?
Preparation for the procedure
Your doctor may order the following:
- Medical checkup;
- Blood and urine tests;
- Decide to use anesthesia and its potential risks.
Consult your doctor about the drugs taken. A week before surgery you may be asked to stop taking some medicines:
- Aspirin or other anti-inflammatory drugs;
- Blood thinners, such as warfarin;
- Clopidogrel.
A few days before the procedure:
- Take a shower the night before and the morning before the procedure, as stated by Dr.;
- We need to organize a trip home from the hospital;
- For eight hours before the procedure, do not eat or drink. Ask your doctor about, Can I take medication in the morning before the procedure.
Anesthesia
It will be used total or spinal anesthesia. It will block any pain and keep you asleep during surgery. Anesthesia is administered intravenously through a catheter.
Procedure optical internal urethrotomy
After you fall asleep, special tube, называемая цистоскоп, It is introduced into the urethra, to find a stricture. The doctor determines the boundaries of urethrotomy in the urethra. It will use a special tool, cutting off the scar tissue within the urethra and make it wider. A doctor may remove the scar tissue by cutting off or by using a laser or heat source. After, the tissue is removed, doctor further explores the urethra and the bladder.
How long will the internal optical urethrotomy?
About 30 minutes.
Will it hurt?
Anesthesia prevents pain during surgery. You will be given pain medicine, to ease pain or soreness after surgery.
The average hospital stay
In most cases, you will be able to go home the same day.
Care after optic internal urethrotomy
Care in a hospital
- You will be directed to the recovery room, until the end effect of anesthesia;
- The nurse will help you eat and start to move;
- You will be given pain medicine;
- Time after the procedure, a catheter is introduced. A catheter is a tube, placed through the urethra into the bladder to drain the urine.
Home Care
When you return home, Follow these steps:, to ensure the normal recovery:
- Take prescribed painkillers. You may feel pain for two weeks;
- Care for the catheter. Maybe, катетер нужно будет оставить на месте – от нескольких дней до двух недель. The doctor may ask you to insert a catheter yourself a few times a week, to scar tissue was not closed again;
- Avoid heavy lifting for two weeks;
- Drink plenty of fluids (eg, 8-10 glasses a day);
- Do not drive or have sex for one week after the procedure;
- Ask your doctor, when you can go back to work. Usually you will be able to return to work within a few days;
- While the catheter is not removed, take a shower, instead of a bath.
Communication with the doctor after the optical internal urethrotomy
After returning home, you need to see a doctor, If the following symptoms:
- Increasing the pressure or pain in the bladder and urethra;
- Catheter does not drain properly urine;
- Difficulty passing urine after taking out the catheter;
- The change in frequency of urination or amount of urine;
- Signs of infection, including fever or chills;
- A lot of blood in the urine (выделение крови в небольших количествах несколько дней после процедуры – нормальное явление).