What Is a Urethral Stricture?
A urethral stricture is a narrowing or partial blockage of the urethra that leads to weak or interrupted urine flow. It may occur due to:
- Recurrent urethral infections
- Trauma or accidents
- Repeated urinary catheterization
- Previous urethral surgeries
- Congenital causes in some cases
Symptoms of Urethral Stricture
- Weak or intermittent urinary stream
- Difficulty starting urination
- Increased urinary frequency
- Sensation of incomplete bladder emptying
- Recurrent urinary tract infections
- Urinary retention in advanced cases
Treatment Options for Urethral Stricture
The choice of treatment depends on the length, location, and degree of fibrosis of the stricture. Treatment options are divided into endoscopic/laser treatment or surgical treatmen
Endoscopic and Laser Treatment of Urethral Stricture
Endoscopic treatment is used in suitable cases and includes:
- Internal incision of the stricture using an endoscope
- Use of laser to precisely cut fibrotic tissue
- Improvement of urine flow without open surgery
Advantages of Endoscopic and Laser Treatment
✔ Minimally invasive with no external incisions
✔ Short operative time
✔ Less pain and faster recovery
✔ Discharge on the same day or the next day
⚠️ Note: The risk of recurrence is higher in long or recurrent strictures.
Surgical Treatment of Urethral Stricture
Surgery is recommended in the following situations:
- Long or severe strictures
- Recurrent strictures after endoscopic treatment
- Extensive fibrosis of the urethra
Types of Surgery
- Excision of the narrowed segment with end-to-end urethral anastomosis
- Urethral augmentation using a tissue graft from the patient
Advantages of Surgical Treatment
✔ Highest long-term success rates
✔ Lower recurrence rates
✔ Definitive solution in most cases
After Treatment
- Urinary catheterization for a period depending on the type of procedure
- Regular follow-up to ensure sustained improvement in urine flow
- Adequate hydration and temporary avoidance of strenuous activity
Which Is Better: Endoscopy or Surgery?
There is no single treatment suitable for all cases. The choice depends on:
- Length and location of the stricture
- Number of previous treatments
- The patient’s overall health status
The final decision is made after careful evaluation of each individual case.
Why Choose Our Care?
- Specialized expertise in treating urethral strictures
- Use of the latest endoscopic and laser technologies
- Mastery of advanced urethral reconstructive surgeries
- Individualized treatment plan for each patient
- Close follow-up to ensure optimal outcomes
Frequently Asked Questions (FAQ)
Is endoscopic treatment painful?
No, it is performed under appropriate anesthesia, and post-procedure pain is usually mild.
Can the stricture recur?
Yes, recurrence can occur in some cases, especially after endoscopic treatment, which is why follow-up is important.
How long is the recovery period?
From a few days after endoscopic treatment to several weeks after surgery.
Can a urethral stricture affect the kidneys?
If left untreated for a long time, it may affect the bladder and kidneys
