Flap Urethroplasty Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
·Last updated: ·Editorial policy
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Flap Urethroplasty Package | $4553 | Single | Patient - 4 days stay in a single room. |
✓ Inclusion
- ✔One-stage flap urethroplasty by a senior reconstructive urologist
- ✔Hospital stay of 4 days in a single room
- ✔Surgeon, assistant surgeon, anaesthetist and operation theatre charges
- ✔General or spinal anaesthesia
- ✔Routine medicines, antibiotics, consumables and IV fluids during the package stay
- ✔Urinary catheter, dressings and wound care during the stay
- ✔Routine blood tests during the package stay
- ✔Nursing care and standard hospital diet for the patient
- ✔Discharge summary with catheter care instructions
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖Pre-operative tests, RGU/MCU, uroflowmetry and consultations before admission
- ✖Additional buccal mucosa graft or second-stage surgery
- ✖Suprapubic catheter placement or change if needed
- ✖Extra hospital days beyond the package
- ✖Pericatheter urethrogram and catheter removal visit
- ✖Medicines and catheter supplies after discharge
- ✖Treatment of complications or re-operation
- ✖Blood and blood products
- ✖Follow-up consultations and tests after discharge
- ✖Flights, hotel, local travel and food for attendants
Know More About Procedure & Surgery
🇮🇳 UROLOGY PACKAGE — INDIA
Flap Urethroplasty Surgery in India
Open reconstruction of long or complex urethral strictures using a flap of nearby skin, done by experienced reconstructive urologists at accredited Indian hospitals – a lasting solution after repeated failed dilatations, at a fraction of Western costs.
✅ Free Medical Opinion in 48–72 h🩺 Durable Stricture Repair💰 Starting USD 4,553✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
3–5 hrs
Surgery time
🏥
4 days
Hospital stay (single room)
📈
80–90%
Long-term success
📅
3–4 weeks
Total stay in India
📖 What is Flap Urethroplasty?
The urethra is the tube that carries urine from the bladder out of the body. In men it is about 20 cm long and passes through the penis. A urethral stricture is a narrowing of this tube caused by scar tissue after an injury, infection, a catheter, earlier surgery or a skin disease called lichen sclerosus. The narrowing makes the urine stream weak and can block urine completely.
Urethroplasty is an open operation to rebuild the narrowed part of the urethra. In a flap urethroplasty the surgeon uses a strip of nearby skin – usually from the penis or foreskin – that keeps its own blood supply, and stitches it in to widen the urethra. Flaps are useful for long strictures, strictures near the tip of the penis and cases where a mouth-lining (buccal) graft is not suitable. Urethroplasty gives far more lasting results than repeated stretching or cutting of the stricture.
🖼️ Understand It in Pictures
💡 In simple words
A urethral stricture is a scar that narrows the urine tube, so the flow becomes weak. In flap urethroplasty, the narrow part is opened and widened with a flap of nearby skin that keeps its own blood supply.
Open urine tube vs stricture, and after repair
👀 Symptoms in Pictures
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
🩺 Conditions Treated
📏
Long anterior urethral stricture
Narrowing longer than 2–3 cm in the penile or bulbar urethra.
🔁
Recurrent stricture
Narrowing that keeps coming back after dilatation or urethrotomy (DVIU).
📍
Penile and meatal stricture
Narrowing near the tip of the penis where local skin flaps work well.
🩹
Failed hypospadias repair
Scarred urethra in adults who had hypospadias surgery as children.
🦠
Stricture after infection
Narrowing from old gonorrhoea or other urethral infection.
🚑
Stricture after injury or catheter
Scarring after straddle injury, instruments or long-term catheter use.
⚠️ Symptoms That May Need Urethroplasty
- ➤Weak or thin urine stream
- ➤Straining to pass urine
- ➤Spraying or split stream
- ➤Dribbling after passing urine
- ➤Feeling the bladder is not empty
- ➤Repeated urine infections
- ➤Pain or burning when passing urine
- ➤Unable to pass urine (retention) or a suprapubic tube
💡 Short, first-time strictures may not need open surgery. A short bulbar stricture (under 1–2 cm) can be treated first with a single urethrotomy (DVIU), which works in about half of cases. If the stricture comes back after one cut or dilatation, guidelines advise urethroplasty rather than repeated procedures. Short strictures may be fixed by excision and joining, and many strictures are repaired with a buccal (mouth) graft instead of a flap.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Retrograde urethrogram (RGU) and MCU | X-ray with dye that shows the exact place and length of the stricture. |
| Uroflowmetry | Measures the urine flow rate; less than 10 mL/s suggests significant narrowing. |
| Ultrasound with post-void residual | Checks the kidneys and how much urine stays in the bladder. |
| Urethroscopy / cystoscopy | Camera look into the urethra to see the stricture and bladder. |
| Urine culture | Infection must be treated before surgery. |
| Blood tests, ECG and chest X-ray | Check fitness for anaesthesia. |
| Sonourethrography (if needed) | Ultrasound to measure scar depth (spongiofibrosis). |
🏥 The Procedure — Step by Step
1
Review of urethrogram
The reconstructive urologist studies your RGU/MCU and plans the type of repair.
2
Urine infection treated
Antibiotics are given if the urine culture is positive.
3
Admission and anaesthesia
General or spinal anaesthesia is given.
4
Positioning
You are placed in a lithotomy (legs raised) position.
5
Exposure of the urethra
The urethra is reached through a cut in the perineum (between scrotum and anus) or on the penis.
6
Opening the stricture
The narrowed segment is cut open along its length until healthy urethra is reached.
7
Flap creation
A strip of penile or foreskin skin is raised with its blood supply intact.
8
Flap repair
The flap is stitched into the opened urethra to widen it, over a soft catheter.
9
Recovery in hospital
About 4 days in hospital with pain control, antibiotics and wound care.
10
Catheter removal
The catheter stays 2–3 weeks; a dye X-ray (pericatheter urethrogram) checks healing before removal.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Penile skin flap urethroplasty (e.g. Orandi, Quartey) | A vascular skin flap from the penis is used to patch the urethra | Long penile strictures, meatal strictures |
| Buccal mucosa graft urethroplasty | Lining from inside the cheek is used as a free graft | Most bulbar and many penile strictures |
| Excision and primary anastomosis (EPA) | Scarred segment removed and healthy ends joined | Short bulbar strictures up to 2–3 cm; 90%+ success |
| Staged urethroplasty | Repair done in 2 operations several months apart | Lichen sclerosus, failed hypospadias, very scarred urethra |
| Perineal urethrostomy | A new urine opening made behind the scrotum | Very long or repeatedly failed strictures in older men |
📊 The AUA Urethral Stricture Guideline (2016, updated 2023) advises urethroplasty rather than repeated urethrotomy for recurrent anterior strictures, because repeat urethrotomy has low long-term success while urethroplasty succeeds in about 80–90%.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India ✈️, airport pick-up, hotel check-in, meeting with the coordinator |
| Day 2–3 | Consultation, RGU/MCU, uroflowmetry, urine culture and fitness tests |
| Day 4 | Admission and flap urethroplasty surgery |
| Day 5–7 | Hospital recovery in single room – pain control, antibiotics, walking |
| Day 8 | Discharge with catheter (4 days in hospital) |
| Day 9–24 | Rest in hotel, catheter care, wound check and stitch review |
| Day 25–28 | Dye X-ray around the catheter, catheter removal, urine flow test – Fly home ✈️ |
🌱 Recovery After Treatment
🛏️
Days 1–4
Hospital stay; pain control, antibiotics, catheter and wound care.
🏨
Weeks 1–3
Rest at hotel with catheter; short walks; avoid sitting on hard surfaces for long.
💧
Week 3–4
Dye test then catheter removed; urine stream is usually much stronger.
💼
Weeks 3–4
Return to light work; avoid heavy lifting and cycling for 6 weeks.
❤️
6 weeks
Sexual activity and normal exercise usually allowed.
📊
3, 6, 12 months
Flow test and symptom check to make sure the stricture has not come back.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Long-term success of flap urethroplasty | About 75–90% |
| Success of buccal graft urethroplasty (bulbar) | About 85–90% |
| Success of excision and primary anastomosis | About 90–95% |
| Success of repeat urethrotomy (for comparison) | Often under 30–50% |
Success depends on the length and site of the stricture, the cause (lichen sclerosus and radiation are harder), earlier failed procedures, smoking and the surgeon's experience in reconstructive urology.
🩹 Risks & Possible Complications
Urethroplasty is a specialist operation with good results, but some risks remain.
- •Stricture coming back – about 10–20%, sometimes treated with a single cut or repeat surgery
- •Wound infection or urine leak at the repair (fistula) – about 2–5%
- •Flap skin dying back or pouch formation (sacculation) causing dribbling – about 5%
- •Post-void dribbling – common, usually mild
- •Temporary change in sensation or erection angle – uncommon
- •Pain or numbness in the perineum or legs from positioning – rare, usually short-lived
- •Bleeding or bruising of the penis or scrotum – usually settles on its own
💰 Cost of Flap Urethroplasty in India
The cost of flap urethroplasty in India starts from about USD 4,553 with 4 days in a single room. This covers surgery, anaesthesia, hospital stay and routine medicines. The final cost depends on stricture length, whether a graft is also needed, staged repair and the hospital.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Flap urethroplasty – Single room (this package) | 4,553 | 4 days | One-stage penile skin flap repair |
| Buccal mucosa graft urethroplasty | 3,500 – 4,500 | 3–4 days | Most common repair for bulbar strictures |
| Excision and primary anastomosis | 3,000 – 4,000 | 3–4 days | Short bulbar strictures |
| Staged urethroplasty (each stage) | 3,500 – 4,500 | 3–4 days | Two operations about 6 months apart |
| Optical urethrotomy (DVIU) | 1,000 – 1,500 | 1 day | Short, first-time strictures only |
⚠️ Final cost depends on stricture length and site, type of repair, need for combined flap and graft, hospital and room type. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Flap urethroplasty surgery
- ✔4 days in a single room
- ✔Surgeon, anaesthesia and OT charges
- ✔Routine medicines and antibiotics during stay
- ✔Urinary catheter and dressings during stay
- ✔Routine blood tests during stay
- ✔Nursing care and standard diet
- ✔Free airport pick-up, visa letter and interpreter
❌ Not Included
- ✖RGU/MCU and tests before admission
- ✖Buccal graft or staged repair if needed
- ✖Extra hospital days
- ✖Catheter removal X-ray and follow-up visits
- ✖Medicines after discharge
- ✖Treatment of complications
- ✖Hotel, flights and food outside hospital
- ✖Single deluxe room upgrade
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Recent retrograde urethrogram (RGU) and MCU images and report, uroflowmetry, ultrasound with residual urine, urine culture, details of earlier dilatations, urethrotomies or surgery, and whether you have a suprapubic catheter. |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All urethrogram (RGU/MCU) images, flow test, ultrasound, urine culture and records of earlier stricture procedures
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Medanta – The Medicity, Max Super Speciality Hospital Saket, Fortis Memorial Research Institute Gurugram, Indraprastha Apollo Hospital Delhi, BLK-Max Hospital, Artemis Hospital Gurugram, Sir Ganga Ram Hospital Delhi and Kokilaben Dhirubhai Ambani Hospital Mumbai – all with reconstructive urology services.
👨⚕️
Senior Specialists
Our partner reconstructive urologists regularly perform flap, graft and staged urethroplasty, including repairs after failed earlier surgery.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ How much does flap urethroplasty cost in India?
It starts from about USD 4,553 with 4 days in a single room. Combined or staged repairs may cost more.
➤ How long is the hospital stay?
About 4 days. You go home or to your hotel with a catheter.
➤ How long must I stay in India?
Plan for about 3–4 weeks. The catheter stays for 2–3 weeks and is removed after a dye X-ray confirms healing.
➤ Why not just have dilatation or urethrotomy again?
Repeated stretching or cutting usually gives short-lived relief and can make the scar longer. Urethroplasty is the lasting solution for recurrent strictures.
➤ What is the success rate?
Flap urethroplasty succeeds in about 75–90% of patients over the long term. Short strictures repaired by excision and joining do even better.
➤ Is it painful?
There is moderate pain for a few days, controlled with medicines. Most patients walk the next day.
➤ Flap or buccal graft – which is better?
Both work well. Buccal graft is used most often for bulbar strictures; skin flaps are useful near the tip of the penis or when mouth tissue is not suitable. Your surgeon chooses after seeing the urethrogram.
➤ Will it affect my erections?
Most men have no long-term change. A small number notice temporary changes in sensation or erection angle.
➤ When can I return to work?
Light work is usually possible after the catheter is removed at 3–4 weeks. Avoid heavy lifting and cycling for about 6 weeks.
➤ Can the stricture come back?
In about 10–20% of patients. Most recurrences are short and can be treated with a small procedure.
➤ I have a suprapubic tube. Can I still have surgery?
Yes. Many patients come with a suprapubic catheter; it is usually removed after the repair heals.
➤ Which reports do I need to send?
Send your RGU/MCU images, flow test, ultrasound and details of earlier procedures for a free opinion.
➤ What follow-up is needed at home?
A urine flow test at 3, 6 and 12 months and then yearly. Share results with our team for video follow-up.
➤ Can a family member come with me?
Yes. We provide visa invitation letters for you and your attendant, plus airport pick-up and interpreter support.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Urethral Stricture and Urethroplasty; AUA Guideline: Urethral Stricture (2016, amended 2023); EAU Guidelines on Urethral Strictures (2023); SIU/ICUD Consultation on Urethral Strictures; Cleveland Clinic: Urethral Stricture; NHS: Urethral stricture. Infographics: Satyug Healthcare.
Frequently Asked Questions
The longest lasting repair is urethroplasty. In this procedure, the region of scar tissue is either removed or enlarged through a cut in the skin. A small drainage tube (catheter) is left in place after surgery to allow the treated area to heal.
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Flap urethroplasty for urethral stricture in India from USD 4,553 – reconstructive urologists, 4-day stay, 80–90% lasting success, visa & interpreter support.
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