Urethral Stricture Management

A urethral stricture is a narrowing of the urethra caused by scar tissue, which restricts urine flow and can lead to serious urinary complications. Our Urethral Stricture Management service offers expert diagnosis and a range of surgical and minimally invasive treatments to restore normal urinary function.

Common Symptoms

Weak or slow urine stream
Straining to urinate
Incomplete bladder emptying
Spraying or split urine stream
Frequent urinary tract infections
Urinary retention in severe cases
Pain during urination

Common Causes

Previous urethral trauma or pelvic fracture
Infections (gonorrhea, chlamydia)
Prior urethral instrumentation or catheterization
Inflammatory conditions (lichen sclerosus)
Radiation therapy
Idiopathic (unknown cause)

Diagnostic Evaluation

Uroflowmetry to assess urine flow rate
Retrograde urethrogram (RGU) and micturating cystourethrogram (MCU)
Urethroscopy for direct visualization
Ultrasound urethrogram for stricture length assessment
Post-void residual urine measurement

Treatment Options

Treatment is selected based on stricture length, location, and recurrence:

Urethral dilation (for short, recurrent strictures)
Direct Vision Internal Urethrotomy (DVIU)
Urethroplasty — the gold standard for long or recurrent strictures:
- End-to-end anastomotic urethroplasty
- Buccal mucosal graft urethroplasty
- Staged urethroplasty for complex cases
Perineal urethrostomy for selected patients