When it comes to discussing urethral stricture, it’s often met with a sense of taboo. This is likely because the condition is not well understood by the general public and can be seen as embarrassing to those who suffer from it. But urethral stricture is a real condition that can seriously affect a person’s quality of life.
There are many reasons why someone might have a urethral stricture. In some cases, it's the result of an injury or surgery. In others, it may result from conditions like inflammation, infection, or scar tissue buildup.
Urethral strictures affect about 1 in 1,000 men, with recurrence common after less invasive treatments like dilation or urethrotomy. Early intervention prevents complications like chronic UTIs, bladder damage, or kidney issues.
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.
The specific technique depends on the stricture’s location (e.g., penile urethra, bulbar urethra, or posterior urethra), length, and severity. Common approaches include:
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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.