Urethral Stricture Treatment in Vashi, Navi Mumbai

Urethral Stricture Treatment in Mumbai

The Urinary system is constituted by the kidneys, ureters and the urethra. The urethra is a tubular structure through which the urine is expelled outside the body.

What is Urethral Stricture ?

Urethral stricture is a condition which basically consists of a narrowing of the urethra.

This can be caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis.

Currently, it is considered that urethral strictures develop secondarily to a process of scarring or fibrosis of the urethral mucosa and/or periurethral tissues, so any process that conditions a trauma can initiate a urethral stricture.

Urethral Stricture Symptoms You Should Know

Symptoms may vary depending on the severity of narrowing.

Common urethral stricture symptoms include:

• Weak or reduced urine stream
• Difficulty starting urination
• Longer time required to empty the bladder
• Frequent urge to urinate
• Pain or burning while passing urine
• Incomplete bladder emptying sensation
• Urinary infections occurring repeatedly

If symptoms are ignored for a long time, bladder problems and urinary complications may develop.

Urethral Stricture Causes and Risk Factors

A urethral stricture usually develops because of scarring inside the urethra.

Common urethral stricture causes include:

• Previous Medical Procedures: Procedures involving urinary instruments or catheters may sometimes cause irritation and scarring.
• Trauma or Injury: Injuries involving the pelvic region or perineum can damage the urethra.
• Infections: Certain infections may cause inflammation and scar formation.
• Previous Surgeries: Some patients may develop narrowing after procedures involving the urinary tract.

How Is Urethral Stricture Diagnosed?

Before deciding Urethral Stricture Treatment, a urologist evaluates the severity and location of narrowing.

Diagnosis may include:

• Medical History and Physical Examination: The doctor understands symptoms, previous surgeries, injuries, and urinary problems.
• Urine Flow Test (Uroflowmetry): Measures the speed and pattern of urine flow.
• Imaging Tests: Tests like retrograde urethrogram (RUG) help identify the exact location and length of the stricture.
• Cystoscopy: A small camera is used to examine the inside of the urethra and bladder.

Urethral Stricture Treatment Options

So, here´s a brief explanation of 3 treatment options:

• Urethral dilatations: The first treatment described for this pathology is periodic urethral dilation, which is recommended in stenoses smaller than 2 cm. A complication rate or failure rate has been reported with this treatment in 32% of patients. Some authors consider it as a non-curative therapy, so it has been replaced by balloon dilatations, stents, and direct visual internal urethrotomy (DVIU).
• Internal urethrotomy: It is one of the most commonly performed procedures for Stricture Urethra as it is considered simple, safe with a short and simple convalescence period despite having a risk of recurrence during the first 6 months of around 50%. The objective of this technique is to allow re-epithelialization of urethra before a scar is formed again.
• Urethroplasty: The technique consists of opening the urethra at the level of the penis or perineum, with excision of the segment that is stenosed (blocked). Depending on the location and length of the stenosis, the reconstruction can be performed in a single time or it may be necessary to leave the urethra open to facilitate its regeneration, proceeding to the final reconstruction at a later stage.

Why Choose Dr. Varun V. Agarwal for Urethral Stricture Treatment?

Frequently Asked Questions