Perineal Urethrostomy surgery chungchang kan sawi dawn em ni?

Nangmah emaw, i hriatte emaw hian zun harsatna, natna, emaw, zun chhuah zawi te in nei em? A chang chuan hei hi a chhan chu eng emaw chhan vanga penis (hei hi urethra kan ti) atanga zun chhuahna tube a tawi emaw, a block emaw vang a ni. Chutiang hunah chuan enkawlna dang a hlawhtlin loh chuan doctor-te rawtna bik surgery a awm a ni. Chu surgery, ‘Perineal Urethrostomy’ tih chu vawiinah hian he thuziak-ah hian kan sawi dawn a ni.

A awlsam zawngin, Perineal Urethrostomy chu eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila.

Perineal Urethrostomy hi mipa chauh tih tur a ni. Chu chuan zun kalna tur kawngkhar thar, nghet tak siam a huam a ni. He hawnna hi i scrotum leh i hnute inkar vun hmunah siam a ni. Damdawi lam hawi chuan he hmun hi ‘perineum’ an ti a.

Ngaihtuah teh, normal takin kan zun hi bladder atang hian penis kal tlanga tube kaltlangin a chhuak thin. He tube hi urethra kan ti a. Mahse infection vang emaw, accident vang emaw, a hmaa surgery an neih vang emaw hian he urethra hi a hliam thei a, a tawi thei bawk. Hetiang dinhmun hi Urethral Stricture kan ti a . Tichuan zun kalna chu a block vek thei a, a kal harsa hle thei bawk.

Hetiang hunah hian, penis kaltlanga zun chhuah a harsat avangin, perineum area-ah zun kal theihna turin hawnna thar siam a ni.

He surgery hi tute nge mamawh?

Hei hi mi zawng zawng tan surgery a ni lo. A bik takin, urethral stricture enkawlna dang, urethra siam that lehna tur surgery tih loh damlote tan chuan duhthlan tur atan a tha hle. A awlsam zawngin, he surgery hi urethra chu penis tip atanga zun chhuah theih lohna khawpa chhia a nih chuan ngaihtuah a ni.

Tin, hei hi mipa kum upa zawk thenkhat tan chuan duhthlan tur tha tak a ni thei bawk a, anmahni hi reconstructive surgery lian tak neih an hreh hle bawk.

He surgery ngaihtuah nana case lian ber berte chu engte nge ni tih hriat nan a hnuaia table hi han en ila.

He surgery atan hian tute nge tling lo mai thei?

A then phei chuan he surgery hi a harsa deuh thei bawk. A hnuaia dinhmunte hi i neih chuan he surgery hi i tan chuan duhthlan tur tha tak a ni lo mai thei. Hei hi thutlukna hnuhnung ber i siam hmain i doctor nen in sawiho hmasa tur a ni.

• Morbidly obese i nih chuan:Thau lutuk hian surgery neihna hmun thlen a harsa thei a, operation hnua hliam damna a tikhawtlai thei bawk.
• Tun hmaa perineum area-a surgery i neih tawh chuan: Chumi hmuna surgery i neih tawh chuan scar tissue vangin re-surgery chu a buaithlak thei hle.
• Prostate cancer tan radiation therapy i ei tawh a nih chuan: Radiation therapy hian chu lai hmuna tissue a tichhe thei a, chu chuan operation hnua damna a tibuai thei a ni.

Zawhna tlangpui i neih theih ṭhenkhat

Hetiang surgery chungchang sawiho hian zawhna tam tak i rilruah a lo lang thin hi thil pangngai tak a ni. Thenkhat chu i chhang ang u.

Semen atang hian semen a chhuak em?

No. He surgery hnu hian zun ang bawkin semen (ejaculation) chu hawnna siam thar atang hian a chhuak chhuak thin . Penis kaltlangin a chhuak lo.

He surgery hian urinary incontinence a thlen dawn em ni?

Hei hi mi tam tak tan chuan hlauhthawnna lian tak a ni. Mahse a chhanna chu "ni lo" tih hi a ni. I zun control theihna tura puitu muscle te hi he opening siam thar chungah hian a awm a ni. Chuvangin, i zun duh hunah i control thei ang. He surgery hian chu theihna chu a nghawng dawn lo.

Operation hmain engtin nge i inbuatsaih thin?

Surgery hmain doctor chuan test eng emaw zat a order ang che.

• Zun sample an endik a, natna hrik a awm leh awm loh an enfiah thin.
• Urinary tract infection laka inven nan zai hmain antibiotics pek thin a ni.
• X-ray examination hi urinary tract dinhmun dik taka hriat theih nan an ti fo thin.

• I taksaah implant (e.g. stent, heart valve, artificial joint, pacemaker) i neih chuan.
• MRSA ang chi bacteria infection bik i neih tawh chuan.
• Variant-CJD (neurological condition hmuh tur awm lo tak) vei theihna risk sang tak i neih chuan.
• Thisen tihthianghlimna damdawi (e.g. warfarin, aspirin, clopidogrel, rivaroxaban, dabigatran) i ei a nih chuan. Hengte hi operation hmain hun eng emaw chen tihtawp a ngai mai thei.

Engtin nge surgery hi an tih thin?

He surgery hi damdawi inah tih a ni a, general anesthesia hnuaiah tih a ni. Chumi awmzia chu engmah hrehawm i nei lovang, i muhil mai dawn tihna a ni.

He surgery tih dan hrang hrang awm mahse, hman tlanglawn ber chu ‘Blandy technique’ a ni. Hetah hian thil thleng chu a awm:

1. Perineum area vunah, scrotum hnuaiah, a sir lam hawia ‘U’ ang maia incision siam a ni.

2. Tichuan, a hnuaia tissue kaltlangin urethra chu a chhuak ta a ni.

3. Urethra chu a sei zawng centimetre 3-4 vel tan a hawn thin.

4. Tichuan, vun incision kilte chu urethra hawn kil kilte nen an inzawm a, thread tha tak tak hmangin an sewn khawm thin.

5. Hei hi zun chhuahna tur kawngkhar thar, nghet tak siam a ni.

Surgery tawp lamah hian he hawnna thar hmang hian tube ‘Foley catheter’ an tih chu an dah lut a, chu chuan zun chu bladder atanga a luang chhuak thei a ni.

Eng chen nge surgery neih a ngaih?

Darkar khat emaw darkar hnih emaw vel a ni tlangpui .

Anesthetized ka ni dawn em ni?

Ni e, fully anesthetized i ni ang. Surgery neih chhung hian engmah i hre lovang.

Operation hnuah eng nge beisei tur?

Damdawi in atanga i haw hmain medical team ten a hnuaia mite hi an hrilhfiah ang che:

• Hliam enkawl dan tur leh in thlen huna in enkawl dan tur.
• Catheter lakchhuahna tur i lo kal leh tur ni.
• Antibiotics leh painkillers i mamawh a ni.
• Follow-up appointment hi doctor pan leh ngai ni a ni.

Surgery avanga harsatna awm thei a awm em?

He surgery hnua harsatna awm hi a tlem hle . Mahse, surgery dang ang bawkin, hlauhawmna tenau tak tak a awm. Complication a awm tak tak chuan a lan chhuah dan chu zun chakna tlahniam, zun hnua zun chu bladder-a awm reng, emaw, zun kawng infection emaw a ni thei.

Natna leh dam hun chungchang

Hei hi a hrehawm em?

Operation hnua natna engemaw zat neih hi thil pangngai a ni a, mahse enkawl theih a ni. I doctor chuan natna tidamtu damdawi a rawn pe ang che.

Recovery lai hian eng nge thleng?

• Catheter hmasa ber chu kar hnih atanga kar thum vel dah a ngai tlangpui a, a chang chuan a rei zawk pawh dah a ngai bawk.
• Hemi chhung hian antibiotics leh painkillers pek i ni ang.
• Catheter lakchhuah hnuah doctor chuan clinic-ah checkup turin a hruai fo ang che.
• Thla 8-12 vel hnuah chuan Cystourethroscopy tih camera hmanga test neih theih a ni a, chu chuan zunthlum siam thar chu a thawk tha em tih leh a blockage a lo lang leh tawh em tih hriat theih a ni.

Engtin nge result a awm a, engtin nge ka in enkawl ang?

He surgery hlawhtlinna rate hi a sang hle ("excellent" anga ngaih a ni). Damlo tam zawk chuan he surgery an neih hnuah hian nunphung tha tak an hmang thin.

I tihdanglam theih lian ber chu i zun dan hi a ni.

Engtikah nge doctor ka hmuh vat ang?

A hnuaia symptoms te hi i neih chuan doctor ko nghal la emaw, enkawlna zawng rawh.

• Cut atanga thisen chhuak tam lutuk.
• A hring (swelling) pangngai lo.
• Khawsik emaw natna kai chhinchhiahna (pus discharge, sen lutuk).
• Urinary tract inflammation emaw, urinary tract infection chhinchhiahna dang emaw a awm thei.
• I zun hnuah i bladder a hring lo ang maia i hriat chuan.
• Urine flow rate a hniam hle a nih chuan.
• I zun leh harsatna i neih leh chuan.

Hemi chungchanga zawhna dang i neih chuan i doctor nen inbiain chinfel hreh suh.