About Transpubic Urethoroplasty
Key Highlights
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Addresses complex or recurrent urethral strictures inaccessible by standard methods.Utilizes durable tissue grafts, often from the cheek, for a robust reconstruction.Aims to provide a definitive, long-term solution to restore normal urination.Performed by specialized urologists with expertise in reconstructive surgery.
Who is this surgery for?
- Long or complex bulbar or posterior urethral strictures.
- Strictures that have recurred after previous urethroplasty or dilation procedures.
- Strictures caused by severe pelvic trauma or fractures.
- Strictures resulting from radiation therapy for pelvic cancers.
- Failed endoscopic management of a urethral stricture.
How to prepare
- Comprehensive urological evaluation including urethroscopy and imaging (urethrogram).
- Pre-operative counseling to discuss goals, risks, and recovery expectations.
- Routine blood tests, ECG, and chest X-ray to ensure fitness for surgery.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised.
- Fasting for 8-12 hours prior to the scheduled surgery time.
Risks & possible complications
- Bleeding, infection, or adverse reaction to anesthesia.
- Recurrence of the stricture or fistula formation (abnormal connection).
- Erectile dysfunction or changes in ejaculation.
- Urinary incontinence, though often temporary.
- Pain, numbness, or discomfort at the graft donor site (e.g., cheek).
- Scarring or complications related to the abdominal incision.
Recovery & hospital stay
- Hospital stay required for initial pain management and monitoring of urinary drainage (catheter).
- The urethral catheter typically remains in place for 2-3 weeks to allow healing.
- Oral antibiotics and pain medications are prescribed to prevent infection and manage discomfort.
- Restricted physical activity, especially heavy lifting, for 4-6 weeks.
- Follow-up visits for catheter removal and to assess urinary flow via a uroflowmetry test.
- Gradual return to normal activities as approved by the urologist.
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Typical hospital stay: 3-5 days
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Expected recovery time: 4-6 weeks for initial recovery; full healing may take 3-6 months
Frequently Asked Questions
If you are considering transpubic urethoroplasty in India, these questions and answers can help you make a confident, informed decision.
Popular choices for transpubic urethoroplasty in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform transpubic urethoroplasty. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for transpubic urethoroplasty compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 350 Thousand | 3-5 days | ~ 4-6 weeks for initial recovery; full healing may take 3-6 months | Know More |
| Turkey | TRY 525 Thousand – 1.23 Million | 3-5 days | ~ 4-6 weeks for initial recovery; full healing may take 3-6 months | Know More |
Top hospitals for Transpubic Urethoroplasty in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing transpubic urethoroplasty.
Pari Gupta is a 42-year-old high...
Pari Gupta is a 42-year-old high school biology teacher and mother of two. An avid runner, she was involved in a serious cycling accident three years ago that fractured her pelvis. While the bones healed, she was left with a devastating complication: a complete obliteration of her urethra due to the trauma. For years, she has relied on a suprapubic catheter, a tube inserted directly into her bladder through her abdomen, to urinate. This has meant constant bag management, recurrent infections, skin irritation, and the emotional toll of feeling 'tethered' and unlike herself. Her urologist, Dr. Mehta, explained that a Transpubic Urethroplasty was her only chance to regain normal urinary function. The complex surgery would involve removing a portion of her pubic bone to access and rebuild the missing urethra. The surgery was long and intensive, requiring a multi-day hospital stay. The initial recovery was painful, with strict limitations on movement. However, after six weeks, her catheter was removed. For the first time in three years, Pari urinated on her own. The emotional shift was profound. While she still has some physical therapy ahead, she feels a sense of wholeness returning. She describes the journey as moving from a state of resigned adaptation to one of hopeful rebuilding, finally seeing a future where her accident doesn't define her daily life.
Urologists for Transpubic Urethoroplasty
Explore experienced urologists who regularly perform transpubic urethoroplasty and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore