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SpecialtiesUrethral stricture

Urethral stricture and reconstructive urethral surgery

Diagnosing the stricture and choosing treatment, from dilation to reconstructive urethroplasty.

Dr. Ahmed S. Zugail
Medically reviewed by Dr. Ahmed Zugail
Consultant Urologist, Andrology & Male Infertility

A urethral stricture is scar tissue that narrows the tube urine passes through. It can follow infection, injury, a previous endoscopic procedure or catheter, and sometimes has no clear cause.

Reconstructive urethral surgery is one of the most precise areas of urology, and choosing the right treatment from the start lowers the chance of the stricture coming back.

First step

How is it assessed?

  1. 1Urine flow testTo measure how much the narrowing affects flow
  2. 2UrethrogramTo show where the stricture is and how long it is
  3. 3CystoscopyIn some cases, to confirm the findings

After the diagnosis

Treatment options

01

Dilation or endoscopic incision

For some short strictures; recurrence is more likely when repeated

02

Urethroplasty

Rebuilding the narrowed segment, sometimes with a graft from the lining of the mouth depending on length and location

Repeated dilation of long or recurrent strictures can worsen the scarring. Early assessment by a specialist helps choose the right solution.

Frequently asked questions

Questions about Urethral stricture

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Can a stricture come back after treatment?

It can. The chance depends on the stricture and the treatment. In suitable cases reconstructive surgery tends to last longer than repeated dilation.

Other specialties

This information is educational and does not replace a medical consultation. In an emergency go to the nearest emergency department

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