Urethral Stricture is a condition that is often met with embarrassment or discomfort in discussion, largely due to the lack of public awareness and understanding. However, it is a legitimate medical condition that can significantly impact a person’s quality of life.
There are various causes of urethral stricture. In some cases, it may result from an injury or a previous surgical procedure. In other instances, the condition may develop due to inflammation, infections, or the buildup of scar tissue in the urethra.
Urethral strictures affect approximately 1 in 1,000 men, and recurrences are common after less invasive treatments like dilation or urethrotomy. Early diagnosis and treatment are crucial in preventing complications such as chronic urinary tract infections (UTIs), bladder damage, or kidney problems.
Urethroplasty: Urethroplasty is an open surgical procedure to repair or reconstruct a narrowed urethra (stricture) by removing or bypassing scar tissue, restoring normal urine flow.
Types of Urethroplasty
The specific technique depends on the stricture’s location (e.g., penile urethra, bulbar urethra, or posterior urethra), length, and severity. Common approaches include:
1. Anastomotic Urethroplasty
2. Substitution Urethroplasty (Graft or Flap)
3. Staged Urethroplasty
4. Common in cases with significant scarring or lichen sclerosus (a skin condition affecting the urethra).
Advantages
When It’s Recommended
*Consumption of medications under the advice of a doctor only.
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Early treatment ensures better outcomes and prevents serious complications.
MASSH MANAS Hospital shines in urethral stricture care with cutting-edge technology like Urethroplasty delivering precise, lasting relief with cutting edge technology. Its patient-centered approach ensures customized treatment plans whether dilation or surgery focused on comfort and recovery. Backed by highly skilled doctors with deep urologic expertise, patients get top-notch care tailored to complex cases, making MASSH MANAS a standout choice.
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A urethral stricture is a narrowing of the urethra (the tube that carries urine out of the body), usually caused by scarring, which restricts urine flow.
It can result from infections (like STIs), trauma or injury, catheter use, previous surgeries, or conditions like lichen sclerosus.
Symptoms include weak urine stream, straining to urinate, incomplete bladder emptying, frequent UTIs, and sometimes blood in urine.
No. Strictures usually do not resolve without treatment and can worsen over time, leading to complications like urinary retention or kidney damage.
Diagnosis typically involves urine flow tests, imaging (retrograde urethrogram), or cystoscopy to view the narrowing directly.
Treatment may include urethral dilation, endoscopic urethrotomy, or surgical reconstruction (urethroplasty), depending on severity and recurrence.
Not always. Mild cases may be managed with dilation or internal cutting, but recurrent or long strictures often require surgery for a permanent solution.
Yes. Some strictures may recur, especially after dilation. Urethroplasty has the lowest recurrence rate among treatment options.
Ignoring a stricture can lead to painful urinary retention, recurrent infections, bladder stones, and irreversible kidney damage.
Men are more commonly affected, especially those with a history of pelvic injury, infections, catheter use, or prior urological surgery.