Urethral Stricture Information
Narrowing of Urethra causing obstructed urinary flow. The best Chance for a Cure of Stricture is in the first attempt. All further attempts have a higher failure rate. It is important to know the best option for your Urethral Stricture…
Cause: Trauma: Catheter /Injury/ Instrumentation Infection: urine Infection/ Urethritis/ STD Congenital: with or without Hypospadias Idiopathic: Unknown reason
Symptoms: Decreased Urine flow Straining for urination Recurrent UTI kidney failure Due to Back Pressure Diagnosis Uroflowmetry RGU / MCU Cystoscopy
Treatment: There is no medication for Urethral Stricture Except for transient use of Antibiotics to control infection.
DVIU / OIU: Suitable only for soft Mucosal stricture Less than 5 mm Length advantage: minimally invasive Disadvantage: Hugh rate of recurrent stricture.2nd attempt of DVIU has almost100% Failure. Anastomotic Urethroplasty: for strictures 5 mm to 25mm Length.
Advantages: high success rate Disadvantage: Risk of erectile problems due to the urethral transaction.
Substitution urethroplasty: for stricture not suitable for the above methods. Previous failed Stricture Buccal mucosa graft is the most common substitution, other options are Penile Skin or Tunica Albuginea.