Advanced Repair for Urethral Strictures

Urethroplasty is a specialized surgical procedure used to treat urethral strictures—a narrowing of the urethra that can severely impact urination, bladder function, and quality of life. Unlike temporary solutions such as dilation or internal cutting (DVIU), urethroplasty offers a long-term or permanent cure by removing or reconstructing the affected section of the urethra.

What Is a Urethral Stricture?

A urethral stricture occurs when scar tissue forms in the urethra, restricting the flow of urine. Common causes include:

  • Injury or trauma (e.g., from catheter use, pelvic fracture)
  • Previous surgery or instrumentation
  • Infections, including STIs
  • Radiation therapy
  • Congenital abnormalities (rare)

Symptoms may include:

  • Weak or interrupted urine stream
  • Straining to urinate
  • Frequent urination or urgency
  • Incomplete bladder emptying
  • Recurrent urinary tract infections (UTIs)

Urinary retention in severe cases

When Is Urethroplasty Needed?

Urethroplasty is typically recommended when:

  • Strictures are long, recurrent, or resistant to dilation or DVIU
  • Non-surgical treatments have failed
  • A definitive, long-lasting solution is preferred
  • The patient experiences frequent urinary issues or catheter dependence

Types of Urethroplasty Procedures

  • Our urologists specialize in several forms of urethral reconstruction based on the stricture’s length, location, and complexity:

    1. Excision and Primary Anastomosis (EPA)

    • Best for short strictures (usually <2 cm)
    • Involves removing the narrowed segment and reconnecting the healthy ends of the urethra
    • High long-term success rate

    2. Substitution Urethroplasty (Graft or Flap)

    • Required for longer or more complex strictures
    • Involves reconstruction using tissue from:
      • The buccal mucosa (inside of the cheek)
      • Genital skin or other autologous grafts
    • Can be performed in one or two stages, depending on the condition

    3. Penile or Bulbar Urethroplasty

    • Based on the location: penile (closer to the tip) or bulbar (deeper, near the perineum)
    • Custom-tailored to preserve sexual and urinary function

Benefits of Urethroplasty

 
 
  • High success rates (over 90% in many cases)
  • Permanent solution for recurrent strictures
  • Improved urinary flow and quality of life
  • Reduced need for repeated dilations or catheterizations
  • Preserves continence and sexual function in most cases

 

 

What to Expect: Before, During & After

Before Surgery

  • Detailed evaluation with uroflowmetry, imaging (retrograde urethrogram), and cystoscopy
  • Review of medical history, previous treatments, and lifestyle factors
  • Pre-op testing and consultation with anesthesia team

During Surgery

  • Performed under general or spinal anesthesia
  • Surgery length varies (1–3 hours), depending on complexity
  • Often involves a catheter placement to aid healing

After Surgery

  • Hospital stay: usually 1–2 days
  • Catheter remains for 2–3 weeks post-op
  • Return to work: typically 2–3 weeks, depending on activity level
  • Follow-up imaging (urethrogram) to confirm healing before catheter removal

Recovery and Long-Term Outlook

Most patients resume normal urinary function after urethroplasty with excellent long-term results. Mild discomfort, swelling, or temporary changes in urination are common during healing. Regular follow-up visits will monitor for any signs of recurrence, though most patients do not need repeat procedures.

Why Choose Us for Urethroplasty?

  • Fellowship-trained urologists with expertise in urethral reconstruction
  • Advanced surgical techniques including graft harvesting and staged repairs
  • Patient-centered care with a focus on comfort, discretion, and outcomes
  • Minimally invasive options where possible, and full hospital support for complex cases
  • Proven success rates and long-term follow-up protocols

Schedule Your Consultation

Don’t let urinary discomfort control your life. If you’ve been struggling with a urethral stricture, we can help. Schedule a consultation today and explore your options for long-term relief.