Cosmetic Gynecology

Urethral Realignment Urethroplasty in Rawalpindi

Urethral Realignment / Urethroplasty in Rawalpindi is a highly specialized urogenital reconstructive procedure designed to restore the normal anatomy, function, and integrity of the urethra. This procedure is increasingly sought by women and men experiencing urethral injuries, strictures, or congenital anomalies that affect urinary function, sexual health, and overall quality of life.

This comprehensive guide covers:

Understanding Urethral Realignment and Urethroplasty
Indications and reasons for surgery
Detailed surgical techniques
Recovery and postoperative care
Benefits of urethral reconstruction
Risks and safety considerations
Cost considerations in Rawalpindi
How to choose a qualified plastic surgeon
Frequently Asked Questions (FAQs)
Professional treatment options at Aesthedoc Clinic

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What is Urethral Realignment / Urethroplasty?

Urethral Realignment is a procedure performed to restore the anatomical continuity of the urethra following injury, trauma, or stricture.

Urethroplasty is a reconstructive surgery to repair, replace, or reconstruct the urethral tissue in cases of:

Urethral strictures (narrowing)
Traumatic injury to the urethra
Congenital anomalies (e.g., hypospadias)
Post-surgical complications affecting the urethra

Both procedures aim to restore normal urinary flow, maintain continence, and improve sexual and urinary function, while ensuring the aesthetic integrity of the genital region.

Anatomy of the Urethra

Understanding urethral anatomy is essential for reconstructive surgery:

Urethra: A tubular structure connecting the bladder to the external urethral meatus
Length: Varies between males (~18–20 cm) and females (~4 cm)
Surrounding structures:
- Pelvic floor muscles
- Vaginal wall (in females)
- Perineal body
Function: Urine excretion, sexual function (in males), and urinary continence

Surgical reconstruction requires precise anatomical knowledge to ensure both functional and aesthetic outcomes.

Why Patients Choose Urethral Realignment / Urethroplasty in Rawalpindi

Patients may seek this procedure for medical, functional, and aesthetic reasons:

1. Urethral Strictures

Narrowing of the urethra due to trauma, infection, or previous surgery
Causes difficulty urinating, urinary retention, and recurrent infections

2. Post-Trauma Repair

Urethral injuries from accidents, childbirth, or pelvic fractures
Restoration of normal urinary and sexual function

3. Congenital Abnormalities

Corrects congenital urethral malformations such as hypospadias
Ensures normal urinary stream and appearance

4. Functional Improvement

Resolves urinary incontinence
Restores smooth urine flow
Reduces risk of recurrent infections

5. Psychological and Social Benefits

Improves self-confidence and quality of life
Addresses anxiety or discomfort due to urethral dysfunction

Who is a Suitable Candidate?

Ideal candidates for urethral realignment or urethroplasty include individuals who:

Have urethral strictures, trauma, or congenital anomalies
Experience difficulty urinating or urinary incontinence
Are in good overall health for surgery
Have realistic expectations regarding recovery and outcomes
Desire functional improvement and anatomical restoration

A board-certified plastic surgeon or urologist can evaluate patient suitability with proper imaging, history, and clinical examination.

Surgical Techniques for Urethroplasty

Several surgical techniques exist depending on the type and location of urethral damage:

1. End-to-End Anastomosis

Direct reconnection of urethral ends after excising the scarred segment
Typically used for short strictures

2. Substitution Urethroplasty

Uses grafts or flaps (e.g., buccal mucosa, vaginal wall) to replace diseased urethral tissue
Ideal for long strictures or extensive tissue loss

3. Onlay and Tube Graft Techniques

Graft tissue is applied onlay or tubularized to reconstruct the urethra
Provides durability and maintains normal urethral diameter

4. Posterior Urethral Realignment

Specific to trauma-induced posterior urethral disruptions
Re-aligns urethra for optimal urinary flow and continence

Step-by-Step Urethral Realignment / Urethroplasty Procedure

Step 1: Preoperative Assessment

Detailed medical and urological history
Imaging: Retrograde urethrogram or cystoscopy
Clinical evaluation of urinary function

Step 2: Anesthesia

General or regional anesthesia based on procedure complexity

Step 3: Surgical Technique

Diseased urethral segment excised or reconstructed
Graft or flap tissue applied as needed
Sutures placed to ensure watertight and tension-free repair

Step 4: Postoperative Observation

Short hospitalization for monitoring
Catheter placement for 1–3 weeks to allow urethral healing
Instructions on hygiene, activity restrictions, and follow-up

Recovery and Postoperative Care

Recovery depends on procedure complexity:

First 24–48 Hours

Mild discomfort, swelling, or bruising
Pain managed with prescribed medications
Rest is essential

First Week

Avoid strenuous activity and sexual activity
Maintain catheter hygiene if present
Monitor for signs of infection

Weeks 2–4

Gradual return to daily activities
Swelling subsides
Follow-up appointments for assessment

4–6 Weeks

Catheter removal if applicable
Full urinary function resumes
Normal sexual activity allowed after surgeon clearance

Benefits of Urethral Realignment / Urethroplasty

1. Restores Urinary Function

Smooth urine flow
Reduced incontinence
Decreased risk of recurrent infections

2. Corrects Structural Issues

Reconstructs urethral anatomy
Repairs traumatic or congenital defects

3. Preserves Aesthetics and Sensation

Maintains natural appearance of genital region
Preserves nerve integrity and sexual function

4. Minimally Invasive Options Available

Endoscopic techniques for selected cases
Reduced scarring and shorter recovery

5. Psychological and Social Benefits

Restores confidence and quality of life
Resolves social or emotional stress due to urethral dysfunction

Risks and Safety Considerations

Urethral reconstruction is generally safe but may carry potential risks:

Mild swelling or bruising
Temporary urinary discomfort
Infection (rare)
Stricture recurrence
Urinary fistula formation (rare)
Surgical site bleeding

Careful surgical technique, sterile environment, and postoperative follow-up minimize complications.

Cost Considerations in Rawalpindi

Factors affecting cost include:

Surgeon’s expertise and qualifications
Complexity and length of urethral reconstruction
Anesthesia and hospital stay requirements
Clinic facilities and postoperative care

Patients should prioritize safety, expertise, and outcomes over low-cost options.

Importance of Choosing a Qualified Plastic Surgeon

A qualified surgeon ensures:

Precise tissue reconstruction
Functional and aesthetic preservation
Safe postoperative recovery
Ethical guidance and patient counseling

Look for surgeons with:

FCPS Plastic Surgery qualification
Active PMDC registration
Experience in urethral and intimate reconstructive surgery

Recognized Medical Credentials

Dr Nadia Tariq – Plastic Surgeon

Academic Qualifications

FCPS (Plastic Surgery) – College of Physicians & Surgeons Pakistan (CPSP), 2025
MBBS – University of Health Sciences (UHS), Lahore, 2016

Professional Registrations

Pakistan Medical & Dental Council (PMDC) – Active Registration
Irish Medical Council (IMC) – Active Registration

The FCPS Plastic Surgery fellowship represents advanced training in:

Reconstructive and cosmetic urogenital surgery
Complication management and functional restoration
Ethical, patient-centered care

Frequently Asked Questions (FAQs)

How long does urethroplasty take?

Typically 90–180 minutes depending on complexity.

Is it painful?

Anesthesia ensures minimal pain during surgery; postoperative discomfort is manageable.

Is hospitalization required?

Most cases require 1–3 days for monitoring, depending on procedure type.

When can normal urinary function resume?

Usually after catheter removal at 2–4 weeks, with full recovery by 6 weeks.

Are there visible scars?

Minimal scarring due to precise surgical technique and tissue handling.

Is urethral reconstruction safe?

Yes, when performed by a board-certified plastic surgeon in a sterile environment.

Emotional and Confidential Considerations

Private consultations ensure discretion
Respect for patient privacy, autonomy, and cultural sensitivities
Non-judgmental counseling and guidance
Postoperative follow-up for both functional and emotional well-being

Urethral Realignment / Urethroplasty in Rawalpindi – Trusted & Professional

For patients seeking safe, effective, and confidential urethral reconstruction in Rawalpindi, professional consultation with a board-certified plastic surgeon ensures:

Restored urinary and sexual function
Anatomical repair and structural integrity
Discreet and ethical care
Long-term functional and aesthetic satisfaction

Aesthedoc Clinic

Dr Nadia Tariq – Plastic Surgeon

Academic Qualifications:

FCPS (Plastic Surgery) – College of Physicians & Surgeons Pakistan (CPSP), 2025
MBBS – University of Health Sciences (UHS), Lahore, 2016

Professional Registrations:

Pakistan Medical & Dental Council (PMDC) – Active Registration
Irish Medical Council (IMC) – Active Registration

At Aesthedoc Clinic, patients receive:

✔ Confidential consultations and personalized evaluation
✔ Expert urethral reconstruction surgery
✔ Ethical guidance and post-operative follow-up
✔ Modern, sterile, and discreet surgical facilities

Schedule a consultation today with Dr Nadia Tariq for safe, functional, and aesthetically satisfying urethral reconstruction in Rawalpindi.