Urethral Stricture Treatment in Singapore

Initial recovery focuses on pain management and monitoring for complications. Patients may experience mild to moderate discomfort that can be managed with prescribed pain medication. Blood-tinged urine is normal and typically resolves within days. Maintaining adequate hydration helps flush the urinary system. Patients are advised to avoid strenuous activities, heavy lifting, or straining. For urethroplasty patients, ice packs applied to the perineum may help reduce swelling. Keep the surgical site clean and dry. Patients can report fever, severe pain, inability to urinate, or heavy bleeding immediately to their healthcare provider.

Patients may continue prescribing antibiotics to prevent infection. Activity levels can be gradually increased while avoiding strenuous exercise. Showering is typically permitted, but tub baths could be avoided if there is an incision. Catheter care involves daily cleaning and properly securing the drainage bag. Patients can attend their scheduled follow-up appointment for wound assessment. Some patients may return to desk work within a week of endoscopic procedures, though urethroplasty recovery may require more extended rest periods. Maintaining a balanced diet with adequate fibre can help prevent constipation that could stress the surgical site.

Catheter removal typically occurs 1-3 weeks after the procedure, depending on the treatment type. Urethroplasty patients may require voiding cystourethrography before catheter removal to confirm healing. Sexual activity can only be resumed after clearance from the urologist, usually 4-6 weeks post-surgery. Regular follow-up includes uroflowmetry to assess the quality of the urine stream. Some patients may benefit from intermittent self-catheterisation to maintain urethral patency. Complete healing after urethroplasty may take 3-6 months, with activity restrictions gradually lifted during this period.

A temporary burning sensation during urination may persist for several days after the procedure. Light bleeding or blood-tinged urine may occur and typically resolves. Mild urethral discomfort or spasms may occur, which can be managed with anticholinergic medications. Temporary urinary frequency and urgency are common as the urethra heals. These effects may be well-tolerated and resolve over time.

Stricture recurrence represents a potential long-term concern. Urinary tract infections may persist despite prophylactic antibiotics in some patients. Other potential complications include urethrocutaneous fistula formation, erectile dysfunction (particularly with posterior urethroplasty), and penile curvature or shortening. Excessive bleeding requiring intervention may occur in some cases.

Risk minimisation involves careful patient selection, meticulous surgical technique, and appropriate post-operative care. Choosing an experienced urologist familiar with various stricture management techniques may help optimise outcomes. Following post-operative instructions, particularly regarding catheter care and activity restrictions, may help reduce the risk of complications.