Urethroplasty Surgery in Delhi, India
Urethroplasty is a highly specialized surgical procedure used to treat urethral strictures and other complex urethral conditions. The urethra is the thin muscular tube that carries urine from the bladder out of the body. In women, it measures about 4 cm, while in men it extends to about 20 cm and is divided into prostatic, membranous, bulbar, and penile segments. When this tube becomes blocked due to scarring, trauma, or infection, patients may suffer from painful urination, weak urinary stream, recurrent infections, or even complete urinary retention. In such cases, urethral stricture treatment in Delhi, India through urethroplasty provides a definitive solution. Dr. Vijayant Govinda Gupta, a reconstructive urologist in New Delhi, offers modern approaches, including end-to-end anastomosis, buccal mucosa grafts, local flap repairs, and progressive perineal urethroplasty for pelvic fracture urethral distraction defects (PFUDD).
When Is Urethral Stricture Treatment Needed?
Urethral strictures are the most common reason for undergoing urethroplasty. They occur when scar tissue narrows the urinary passage. Patients may experience recurrent urinary tract infections, burning, painful urination, incomplete emptying of the bladder, or blood in the urine. Other causes that may require urethral stricture surgery in Delhi include traumatic pelvic injuries, urethritis due to sexually transmitted infections, congenital conditions such as hypospadias, and, rarely, urethral cancers.
Diagnostic Workup Before Urethroplasty
To plan the most effective urethral stricture treatment in India, a surgeon performs detailed imaging and endoscopy. Retrograde urethrograms (RGU) and micturating cystourethrograms (MCU) map the location and length of the stricture using contrast X-rays, while cystoscopy allows direct inspection of the urethra. Blood tests, urine cultures, and anesthesia clearance complete the pre-operative evaluation.
How Urethroplasty Surgery Is Performed
The procedure is carried out under anesthesia, and the exact technique depends on stricture length and location.
Short strictures: The scarred portion is removed, and the healthy ends are rejoined (excision and primary anastomosis).
Longer strictures: Tissue grafts are used, most commonly from the buccal mucosa (inner cheek). In some cases, genital skin or rectal mucosa may be harvested.
Complex injuries: Local flaps or progressive perineal urethroplasty may be required, especially in PFUDD cases.
Once the blockage is cleared and the urethra reconstructed, the incision is sutured, and a urinary catheter is placed for 10–14 days, or up to 21 days in PFUDD cases.
Recovery and Postoperative Care
Patients generally stay in the hospital for 1–3 days after routine cases and up to a week for complex procedures. Antibiotics, painkillers, and bladder spasm medicines are prescribed. If a cheek graft is used, antiseptic mouthwash is recommended.
Catheter duration:
Standard urethroplasty: 10–14 days
Progressive Perineal Urethroplasty (PPU): ~21 days
Follow-up after 2–3 weeks ensures healing and catheter removal, after which most patients void with a strong stream. Patients are advised to avoid sexual activity, heavy exercise, and long travel for several weeks until fully cleared by the surgeon.
Progressive Perineal Urethroplasty (PPU) for PFUDD
One of the most complex situations treated by Dr. Vijayant is Pelvic Fracture Urethral Distraction Defect (PFUDD). This occurs after major pelvic trauma, where the urethra separates from the bladder and prostate. Initially, a suprapubic catheter (SPC) is placed to divert urine.
PPU is the gold standard surgical technique for PFUDD. Once the pelvic fracture has healed (usually after 3–4 months), the urethra is progressively mobilized through a perineal incision and reconnected to the bladder. The surgery takes around 2 hours, patients stay about a week in hospital, and the urethral catheter is removed after 3 weeks.
Erectile Function: Most dysfunction is due to the original trauma; PPU rarely worsens erections and may improve them in some patients.
Success Rate: The majority achieve good outcomes, although ~10% may require additional procedures, depending on the complexity of the stricture.
Cost of Urethroplasty in Delhi, India
India is a global hub for affordable, high-quality reconstructive urology. In New Delhi:
Indian patients: around ₹1,20,000 all-inclusive
International patients: around USD 3,000 all-inclusive
This covers tests, surgeon’s fees, anesthesia, hospital stay, medications, and disposables. Costs may vary with complexity, comorbidities, and graft requirements.
Results, Success Rate, and Risks
Urethroplasty has a reported long-term success rate of 80–90% when performed by experienced surgeons. It is far superior to repeated endoscopic urethrotomies, which often provide only temporary relief.
Possible risks include:
Catheter blockage or leakage
Urinary tract infection
Pain or swelling in the perineum
Recurrence of stricture (may require further intervention)
Erectile dysfunction (usually related to the original injury)
Rare wound issues, bleeding, or nerve injuries from surgical positioning
With careful surgery, good aftercare, and proper follow-up, most patients recover fully and regain normal urinary function.
Why Choose Dr. Vijayant Govinda Gupta
Dr. Vijayant Govinda Gupta is a recognized reconstructive urologist in New Delhi who specializes in urethral stricture treatment in India. With expertise in end-to-end urethroplasty, buccal mucosa grafts, local flaps, and progressive perineal urethroplasty, he provides holistic care with transparent pricing and international-standard protocols. Patients from across India and abroad choose his services for reliable results and comprehensive support.
Urethral strictures are a painful and debilitating condition, but with modern surgical techniques, long-term relief is possible. Urethral stricture treatment in Delhi, India, through urethroplasty, offers patients the chance to restore normal urination, eliminate infections, and regain quality of life. With success rates approaching 90% and affordable treatment cost, Dr. Vijayant Govinda Gupta’s practice in New Delhi has become a trusted center for both national and international patients seeking effective urethral stricture surgery.
