Stricture Urethra

A urethral stricture is a medical condition characterized by the narrowing of the urethra—the tube that carries urine from the bladder out of the body. This narrowing usually results from scar tissue formation caused by trauma, infections, surgeries, or inflammation. It restricts urine flow and, if left untreated, can lead to serious complications.

More common in men, strictures can vary in length and location. Untreated cases may result in recurrent urinary tract infections (UTIs), bladder stones, urinary retention, and even kidney damage.

Recognizing symptoms early is key to effective treatment. Common signs include:

• Weak or slow urinary stream
• Straining to urinate
• Incomplete bladder emptying
• Frequent or urgent urination
• Spraying or split urine stream
• Painful urination (dysuria)
• Recurrent UTIs
• Blood in urine (hematuria)

Several factors can contribute to urethral narrowing, including:

• Pelvic or perineal trauma (e.g., falls or accidents)
• Previous catheterization or surgical procedures
• Sexually transmitted infections (STIs)
• Inflammatory conditions like lichen sclerosus
• Radiation therapy for pelvic cancers

Accurate diagnosis is essential for determining the appropriate treatment. Common diagnostic tests include:

• Retrograde Urethrogram (RGU): Contrast dye is used with X-ray imaging to assess the location, length, and severity of the stricture.
• Cystoscopy: A thin scope is inserted into the urethra to directly visualize the narrowed area.

Often, both RGU and cystoscopy are performed together for a detailed evaluation.

Treatment depends on the length, location, and severity of the stricture. Surgical intervention is often the most effective approach, especially for complex or recurrent cases.

1. Buccal Mucosa Graft Urethroplasty (BMGU)

This advanced reconstructive surgery uses tissue from the inner cheek (buccal mucosa) to repair the urethra. It’s ideal for long or recurrent strictures. The process involves:

• Harvesting cheek tissue
• Exposing the narrowed urethral segment
• Augmenting or reconstructing with the graft

2. End-to-End Urethroplasty

Used for short strictures (less than 2 cm), this procedure removes the narrowed segment and joins the healthy urethral ends. It offers high success rates with minimal recurrence.

Urethroplasty offers long-lasting relief. Reported success rates include:

• End-to-End Urethroplasty: 90–95%
• Buccal Mucosa Urethroplasty: 85–90%, depending on complexity

These procedures are considered permanent solutions when performed by experienced surgeons.

• Hospital Stay: 1–2 days
• Catheter Duration: 2–3 weeks
• Return to Routine: Usually within 4–6 weeks

An RGU is typically performed before catheter removal to confirm healing. Avoid strenuous activity, including sexual activity, until cleared by the surgeon.

India is a global hub for urethral reconstruction due to:

• Expert, fellowship-trained urologists
• Advanced surgical technologies
• Affordable treatment without compromising quality
• High success rates and experienced centers

Patients from the Middle East, Africa, Europe, and Southeast Asia trust India for world-class urological care.

Look for a surgeon who offers:

• Board certification and reconstructive urology fellowship
• Experience with complex and redo surgeries
• Access to advanced diagnostics and facilities
• Excellent patient reviews and results

The best urethroplasty surgeons in India combine clinical precision with compassionate, patient-centered care.

Urethral stricture is a treatable condition with excellent outcomes when diagnosed and treated early. Surgical techniques like buccal mucosa urethroplasty and end-to-end urethroplasty offer permanent solutions with high success rates.

India offers access to top-tier reconstructive urologists at affordable costs, making it an ideal destination for international patients. If you’re struggling with urethral stricture, consulting a specialist in India could be your first step toward recovery and restored urinary health.