It's important to clarify that both Optical Internal Urethrotomy means OIU and urethroplasty are limited healing especially OIU for urethral stricture in many cases. However, no treatment offers a guaranteed 100% cure rate, and there are limitations to consider.
Limitations of OIU:
Stricture Severity: OIU is generally most successful for shorter than 2 cm and uncomplicated strictures. Long or complex strictures with multiple strictures or scar tissue may not respond well or have a higher recurrence rate.
Location: OIU is most effective for strictures in the bulbar urethra . Strictures in the navicular urethra or the membranous urethra might be less suitable for OIU due to anatomical challenges.
Recurrence Rates: While OIU can offer immediate symptom relief, recurrence rates can vary depending on factors like stricture severity. Studies report success rates of 50-80% at 5 years, but repeat procedures might be needed in some cases.
Technical Factors: The success of OIU depends on the skill and experience of the urologist performing the procedure. Incomplete cutting of the stricture or damage to surrounding tissues can increase the risk of recurrence.
Limitations of Urethroplasty :
Surgical Complexity: Urethroplasty is a more invasive surgery compared to OIU. It requires general anesthesia and carries inherent surgical risks like bleeding, infection, and temporary discomfort.
Types of Urethroplasty: The chosen urethroplasty technique impacts outcomes. Augmentation might offer a higher success rate than excision for some strictures. The complexity of the stricture also influences the technique and potential limitations.
Donor Site Morbidity: Depending on the technique, urethroplasty might involve using tissue grafts from the oral mucosa or skin. This can cause some discomfort or scarring at the donor site.
Stricture Recurrence: Even with urethroplasty, recurrence remains a possibility. The reported success rate varies depending on the stricture complexity and technique used. Some studies suggest long-term success rates of 70-90% only to that particular segment of urethra , but repeat procedures might be necessary in many cases.
Additional Factors Affecting Outcomes :
Underlying Cause: The cause of the urethral stricture can influence the success of treatment. Strictures caused by infections or instrumentation might have a higher risk of recurrence compared to those caused by trauma.
Patient Compliance: Following post-operative instructions like avoiding strenuous activity and maintaining good hygiene can contribute to a successful outcome.
Long-Term Management: Regular follow-up with a urologist is crucial to monitor for recurrence and address any potential complications.
Conclusion
OIU and urethroplasty are valuable tools in managing urethral stricture. While they offer significant benefits, it's essential to understand their limitations. Discussing these limitations with your urologist can help you make informed decisions about the best treatment approach for your specific case. It's important to remember that achieving a long-term cure is often possible with appropriate treatment and management.
Research is ongoing to improve treatment techniques and minimize recurrence rates for urethral stricture.
HOMEOPATHIC APPROACH :
Talking about the Homeopathic treatment its very effective Whenever a patient come in early stages but if it late or a person come with surgical intervention then no doubt it become little bit complicated and is a long time for proper recovery.
homeopathic medicines are safest medicines for urethral stricture.
Through Niramaya homoeopathy we are trying to give our best homoeopathic services online as well offline.
For more info visit our website 👇
www.niramayahomoeopathy.com
For clinic related info click below👇
g.page/dr-atul...
For appointment click below 👇
play.google.co...
Click here to know how to take online appointment 👇
• How to take appointmen...
Regards
Dr Atul Kumar Singh
Niramaya multispeciality homoeopathic clinic
9236185711 / 7007205535
DISCLAIMER -
Any data on sicknesses and therapies accessible at this channel is planned for general direction as it were. Continuously look for the counsel of your doctor or other qualified medical care proficient with questions you might have in regards to your ailment. Our channel will not be obligated for any immediate, coincidental, considerable, aberrant or reformatory harms emerging out of admittance to or utilization of any satisfied accessible on this channel. Wishing you great wellbeing, wellness and joy.
Much obliged and Respects
Dr Atul Kumar Singh