Q: I have undergone the first stage of urethroplasty in 1988 and I am now on regular urethral dilatation periodically. Is there any remedy to avoid dilatation permanantly? I have no diabetes or hypertension but persistant UTI and am on early CRF diet as the GFR is 27% and the right kidney is not functioning. Stent cannot be negotiated at the right kidney pelvis.

A:There is a difference between first stage and one stage urethroplasty. If it is first stage, then the urinary opening should be somewhere on the penis or near scrotum. If the opening is at the normal place, then it is one stage. Tell me the type of opening you have. If normal, then dilatation may be needed periodically. It can also be revised or OIU may be done. If you have a proximal opening then it can be corrected by meatoplasty.